Cricothyroidotomy: Elective use in respiratory problems requiring tracheotomy

Brantigan, Charles O.; Grow, John B.

doi:10.1016/s0022-5223(19)40262-6

Cited by 230 publications

(57 citation statements)

References 12 publications

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“…Reported complication rates for surgical cricothyroidotomy vary widely between 6.1% and 54.5% depending on the clinical circumstances, technique and operator experience [5, 6]. A common complication in all these reports is tube misplacement secondary to inaccurate identification of anatomical landmarks.…”

Section: Discussionmentioning

confidence: 99%

ORIGINAL ARTICLE: Accuracy of surface landmark identification for cannula cricothyroidotomy

Elliott¹,

Baker

Scott³

et al. 2010

Anaesthesia

155

107

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SummaryCannula cricothyroidotomy is recommended for emergency transtracheal ventilation by all current airway guidelines. Success with this technique depends on the accurate and rapid identification of percutaneous anatomical landmarks. Six healthy subjects underwent neck ultrasound to delineate the borders of the cricothyroid membrane. The midline and bisecting transverse planes through the membrane were marked with an invisible ink pen which could be revealed with an ultraviolet light. Eighteen anaesthetists were then invited to mark an entry point for cricothyroid membrane puncture. Only 32 (30%) attempts by anaesthetists accurately marked the skin area over the cricothyroid membrane. Of these only 11 (10%) marked over the centre point of the membrane. Entry point accuracy was not significantly affected by subjects' weight, height, body mass index, neck circumference or cricothyroid dimensions. Consultant and registrar anaesthetists were significantly more accurate than senior house officers at correctly identifying the cricothyroid membrane. Accuracy of percutaneously identifying the cricothyroid membrane was poor. Ultrasound may assist in identifying anatomical landmarks for cricothyroidotomy.

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Section: Discussionmentioning

confidence: 99%

ORIGINAL ARTICLE: Accuracy of surface landmark identification for cannula cricothyroidotomy

Elliott¹,

Baker

Scott³

et al. 2010

Anaesthesia

155

107

View full text Add to dashboard Cite

show abstract

“…Cricothyroidotomy is sometimes particularly difficult in the obese patient. Insertion of the tube can be facilitated by passage of an introducer (bougie) through the incision [272] or use of a tracheal retractor [270,[273][274][275][276][277].…”

Section: Plan C: Maintenance Of Oxygenation and Ventilation And Postpmentioning

confidence: 99%

Difficult Airway Society guidelines for management of the unanticipated difficult intubation

Henderson¹,

Popat²,

Latto³

et al. 2012

Anaesthesia

186

254

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Section: Plan D: Rescue Techniques For ‘Can’t Intubate Can't Ventilamentioning

confidence: 99%

Difficult Airway Society guidelines for management of the unanticipated difficult intubation

Henderson¹,

Popat²,

Latto³

et al. 2004

Anaesthesia

882

327

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SummaryProblems with tracheal intubation are infrequent but are the most common cause of anaesthetic death or brain damage. The clinical situation is not always managed well. The Difficult Airway Society (DAS) has developed guidelines for management of the unanticipated difficult tracheal intubation in the non-obstetric adult patient without upper airway obstruction. These guidelines have been developed by consensus and are based on evidence and experience. We have produced flow-charts for three scenarios: routine induction; rapid sequence induction; and failed intubation, increasing hypoxaemia and difficult ventilation in the paralysed, anaesthetised patient. The flowcharts are simple, clear and definitive. They can be fully implemented only when the necessary equipment and training are available. The guidelines received overwhelming support from the membership of the DAS. Disclaimer: It is not intended that these guidelines should constitute a minimum standard of practice, nor are they to be regarded as a substitute for good clinical judgement.

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Cricothyroidotomy: Elective use in respiratory problems requiring tracheotomy

Cited by 230 publications

References 12 publications

ORIGINAL ARTICLE: Accuracy of surface landmark identification for cannula cricothyroidotomy

ORIGINAL ARTICLE: Accuracy of surface landmark identification for cannula cricothyroidotomy

Difficult Airway Society guidelines for management of the unanticipated difficult intubation

Difficult Airway Society guidelines for management of the unanticipated difficult intubation

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