Cricothyrotomy in the emergency department

Annals of Emergency Medicine
J McGillE Ruiz

Abstract

Thirty-eight emergency cricothyrotomies were performed over a 3-year period. This was the first airway control maneuver attempted in 5 patients, 3 of whom had facial and/or neck injury, one apneic with upper airway hemorrhage, and one with aortobronchial fistula. The remaining 33 procedures were performed only after other airway management failed. Five indications were identified among these cases: 1) excessive emesis or hemorrhage (11), 2) possible cervical spine injury with airway compromise (9), 3) technical failure (7), 4) clenched teeth (5), and 5) masseter spasm following succinylcholine administration (1). Fourteen immediate complications occurred in 12 patients (32%). The most frequent was incorrect site of tracheostomy tube placement (5), with 4 of 5 misplaced through the thyrohyoid membrane. Others included execution time greater than 3 minutes (4), unsuccessful tracheostomy tube placement (3), and significant hemorrhage (2). Twelve of the 38 patients were long-term survivors. There was one long-term complication, a longitudinal fracture of the thyroid cartilage during forceful placement of an oversized tube (8 mm inner diameter) through the cricothyroid membrane. This required operative repair and left the patient wi...Continue Reading

References

Jul 1, 1979·Chest·R W RuckerC C Worcester
Aug 26, 1976·The New England Journal of Medicine·C R SchillaciR S Conte
Jan 11, 1976·The Journal of Thoracic and Cardiovascular Surgery·C O Brantigan, J B Grow
Nov 1, 1974·Anesthesia and Analgesia·D Bourke, P R Levesque
Jun 1, 1972·British Journal of Anaesthesia·P A Taylor, R M Towey
Sep 1, 1967·Anesthesiology·P Safar, J Penninckx
Mar 1, 1967·Anesthesia and Analgesia·W F Powell, T Ozdil
Nov 1, 1980·Critical Care Medicine·D F Danzl, D M Thomas
Mar 1, 1981·Annals of Emergency Medicine·J E Tintinalli, J Claffey
Jun 1, 1957·The Laryngoscope·R J CAPAROSA, A R ZAVATSKY
Mar 1, 1959·Anesthesiology·M I GOLD, D R BUECHEL

Citations

Jan 1, 1990·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·E Crosby, A Lui
Dec 1, 1992·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·D L Bogdonoff, D J Stone
Feb 4, 2012·Journal of Anesthesia·Vincent CollardKoichi Yuki
Mar 15, 2005·The American Journal of Emergency Medicine·Michelle GillSteven M Green
Jul 21, 2000·The Journal of Emergency Medicine·D P DavisG M Vilke
Feb 13, 2001·The Journal of Emergency Medicine·M C GerlingS R Hayden
Mar 1, 2003·The Journal of Emergency Medicine·Aaron E BairJ C Sakles
Feb 9, 1999·The Journal of Emergency Medicine·D P DavisP Rosen
May 25, 1999·The Journal of Emergency Medicine·K J BramwellP Rosen
Dec 14, 1999·The Journal of Emergency Medicine·T C ChanP Rosen
Nov 20, 2002·Journal of the American College of Surgeons·Mary C McCarthyManuel H Castillo
Feb 22, 2008·The Journal of Laryngology and Otology·J C Ryan, B McGuire
Nov 24, 1999·The Laryngoscope·M B Gillespie, D W Eisele
Jan 12, 2002·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·A Y Tam, F L Lau
Aug 13, 2003·Southern Medical Journal·Mary Jo WrightNorman E McSwain
Jul 12, 2003·The Journal of Trauma·C Michael DunhamEAST Practice Management Guidelines Work Group
Jun 12, 2008·The Journal of Trauma·Scott E McIntoshErik D Barton
Apr 2, 1998·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·R S ChangW A Carter
Jun 1, 1989·Archives of Emergency Medicine·M J Clancy
Jun 4, 2013·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Sofie LangvadMarten Sandberg
Feb 18, 2014·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Ivan J Prithishkumar, Christilda Felicia
Jan 1, 2014·BMC Anesthesiology·Mark CampbellConan Liam McCaul
Oct 16, 2012·Wilderness & Environmental Medicine·M Josephine Hessert, Brad L Bennett
Oct 18, 2008·The American Journal of Emergency Medicine·Scott E NichollsTania D Strout
May 18, 2004·Anaesthesia·R M Craven, R G Vanner
Jul 22, 2010·Anaesthesia·D S J ElliottJ M D Thompson
Jun 26, 2012·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Keith CurtisMichael Mallin
Jun 26, 2015·The Laryngoscope·Christina H FangEvelyne Kalyoussef
Mar 1, 1992·The American Journal of Emergency Medicine·P CiagliaK D Graniero
Nov 1, 1985·The American Journal of Emergency Medicine·T O Stair, B E Hirsch
Jul 1, 1988·The Journal of Emergency Medicine·S E Mace
Jan 1, 1985·The Journal of Emergency Medicine
Sep 1, 1990·The Journal of Emergency Medicine·E Crosby, V Suderman
Jan 18, 2006·Best Practice & Research. Clinical Anaesthesiology·Matthias HelmTill Mutzbauer
Mar 20, 1998·Annals of Emergency Medicine·J C SaklesE A Panacek
Oct 17, 1998·Annals of Emergency Medicine·J F HolmesB T Brofeldt
Aug 1, 1987·Annals of Emergency Medicine·M J LeichtD E Davis
Feb 1, 1992·Annals of Emergency Medicine·D SlobodkinJ H Raife
Sep 1, 1996·Clinics in Chest Medicine·S A Blosser, J L Stauffer
Apr 1, 1986·Annals of Emergency Medicine·T G MajernickH G Hughes
Jul 2, 2015·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Masataka UeharaKazuhiro Tominaga
Jul 23, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Aaron E Bair, Rupinder Chima
Jul 4, 2009·Air Medical Journal·Darren BraudeDavid Grimsley
May 23, 2015·Anesthesiology Clinics·Jason A AkulianDavid Feller-Kopman
Feb 28, 2015·Journal of Neurosurgery. Spine·Mark E OppenlanderNicholas Theodore
Feb 1, 2015·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Austin LambIain Arseneau
Mar 9, 2017·Revista do Colégio Brasileiro de Cirurgiões·Marina Barguil MacêdoKátia Maria Marabuco DE Sousa
Apr 1, 1991·Annals of Emergency Medicine·W L NugentD H Wisner
Feb 8, 2008·The Annals of Otology, Rhinology, and Laryngology·Debbie A MouadebPeter C Belafsky
Sep 1, 1987·The Annals of Otology, Rhinology, and Laryngology·B A Esses, B W Jafek
May 1, 1997·The Journal of Trauma·J B FortuneS B Johnson
May 28, 2010·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Michael P PhelanStefanie E Schrump
Aug 10, 2004·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·J M BoonT Welch
Dec 5, 2018·Southern Medical Journal·Steven G SchauerMichael D April
Dec 22, 2005·The Laryngoscope·Kenneth W AltmanRobert C Kern
Apr 1, 1997·The Journal of Laryngology and Otology·P GoumasG Mochloulis
Nov 1, 1996·The Journal of Laryngology and Otology·J D Bennett
Feb 9, 2012·Emergency Medicine Australasia : EMA·Bruce R Paix, William M Griggs
Jan 1, 1996·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·K DoverG L Colborn
Oct 28, 2019·Journal of Biomedical Optics·Fan ZhangRonald X Xu
Nov 1, 1991·The Journal of Laryngology and Otology·S M Milner, J D Bennett
Jan 1, 1985·Intensive Care Medicine·M HolstH Schiratzki
Jan 1, 2020·Laryngoscope Investigative Otolaryngology·Elliana K DeVoreSid Khosla
Apr 1, 1987·Postgraduate Medicine·S Sterner
Apr 17, 2001·The Journal of Emergency Medicine·J C DiGiocomoG W Shaftan

Related Concepts

Choking
Care of Intensive Care Unit Patient
Accident and Emergency Department
Larynx
Retrospective Studies
Tracheotomy Procedure

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Lipidomics & Rhinovirus Infection

Lipidomics can be used to examine the lipid species involved with pathogenic conditions, such as viral associated inflammation. Discovered the latest research on Lipidomics & Rhinovirus Infection.

Glut1 Deficiency

Glut1 deficiency, an autosomal dominant, genetic metabolic disorder associated with a deficiency of GLUT1, the protein that transports glucose across the blood brain barrier, is characterized by mental and motor developmental delays and infantile seizures. Follow the latest research on Glut1 deficiency with this feed.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Alzheimer's Disease: MS4A

Variants within the membrane-spanning 4-domains subfamily A (MS4A) gene cluster have recently been implicated in Alzheimer's disease in genome-wide association studies. Here is the latest research on Alzheimer's disease and MS4A.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Laryngeal Neoplasms

Laryngeal Neoplasms occur in the Larynx and are typically associated with smoking and alcohol consumption. Discover the latest research on Laryngeal Neoplasms here.

Cell Atlas Along the Gut-Brain Axis

Profiling cells along the gut-brain axis at the single cell level will provide unique information for each cell type, a three-dimensional map of how cell types work together to form tissues, and insights into how changes in the map underlie health and disease of the GI system and its crosstalk with the brain. Disocver the latest research on single cell analysis of the gut-brain axis here.

Related Papers

The Journal of Emergency Medicine
M J ErlandsonJ Cohen
Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
R S ChangW A Carter
Emergency Medicine Clinics of North America
R M Walls
© 2021 Meta ULC. All rights reserved