Cricothyrotomy in Helicopter Emergency Medical Service Transport

High, Kevin; Brywczynski, Jeremy; Han, Jin H.

doi:10.1016/j.amj.2017.10.004

Cited by 12 publications

(8 citation statements)

References 8 publications

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“… 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 Of the 69 included studies, there was one randomised controlled trial and 68 observational studies. 10 , 11 , 12 , ...…”

Section: Resultsmentioning

confidence: 99%

Emergency front-of-neck access in cardiac arrest: A scoping review

Aljanoubi,

Almazrua,

Johnson

et al. 2024

Resuscitation Plus

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Section: Resultsmentioning

confidence: 99%

Emergency front-of-neck access in cardiac arrest: A scoping review

Aljanoubi,

Almazrua,

Johnson

et al. 2024

Resuscitation Plus

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“…Supplementary Table S1 details the findings of each included study; the quality of evidence findings are available in Supplementary Table S2 . 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 56 , 57 , 58 , 59 , 60 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 Thirty-three studies were low quality and 36 were very low quality. …”

Section: Resultsmentioning

confidence: 99%

“…FONA, front-of-neck access. Study Number of patients Success rate documented in manuscript (%) Needle technique Bulger and colleagues 12 8 75.0 Nakayama and colleagues 13 2 0.0 Shapey and colleagues 14 4 50.0 Tollefsen and colleagues 15 1 100.0 Warner and colleagues 16 4 25.0 Surgical technique Adams and colleagues 17 17 76.5 Archan and colleagues 18 1 100.0 Aziz and colleagues 19 72 97.2 Bair and colleagues 20 22 100.0 Boyle and colleagues 21 69 98.6 Bulger and colleagues 12 22 100.0 Cook and colleagues 22 68 98.5 Germann and colleagues 23 4 100.0 High and colleagues 24 7 100.0 Jacobson and colleagues 25 50 94.0 Lairet and colleagues 26 15 86.7 Leibovici and colleagues 27 16 93.8 Ljungqvist and colleagues 28 2 100.0 ...…”

Section: Resultsmentioning

confidence: 99%

Success rate of prehospital emergency front-of-neck access (FONA): a systematic review and meta-analysis

Morton

Avery

Kua

et al. 2023

British Journal of Anaesthesia

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“…Overall, the majority of cricothyroidotomies were performed by road-based ICPs (66.7%) with the remaining performed by the aeromedical ICPs (Table 2). All cricothyroidotomy indications were categorized as either being a part of the failed intubation algorithm or performed as the primary airway management intervention (Table 3 4 , [10][11][12][13] ).…”

Section: Resultsmentioning

confidence: 99%

Needle Cricothyroidotomy by Intensive Care Paramedics

Bye

Clair

Delorenzo

et al. 2022

Prehosp. Disaster med.

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Objective: Cricothyroidotomy is an advanced airway procedure for critically ill or injured patients. In Victoria, Australia, intensive care paramedics (ICPs) perform needle cricothyroidotomy utilizing the proprietary QuickTrach II (QTII) device. Recently, an Ambulance Victoria (AV) institutional change in workflow included pre-puncture surgical incision to assist in successful placement. This review aims to explore whether a surgical pre-incision prior to the insertion of the device improved overall procedural success rates of needle cricothyroidotomy using the QTII. Methods: This was a retrospective review of all patients who received a needle cricothyroidotomy by ICPs from May 1, 2015 through September 15, 2020. Data and patient care records were sourced from the AV data warehouse. Results: A total of 27 patients underwent a needle cricothyroidotomy with the mean age of patients being 50.2 years. Most cricothyroidotomies were performed using the QuickTrach II kit (92.6%). Prior to modification of the QTII procedure, front-of-neck access (FONA) success was 50.0%; however, this improved to 82.4% after the procedures recent update. The overall success rate of all paramedic-performed needle cricothyroidotomy during the study period was 74.1% (n = 20). Conclusions: This review demonstrates that propriety devices such as the QTII device achieve a low success rate for a FONA intervention. Despite the low frequency of this procedure, ICPs with extensive training and regular maintenance can perform needle cricothyroidotomy using scalpel assistance with a reasonable success rate. But when compared to the broader literature, success rate using a more straightforward technique such as a surgical cricothyroidotomy technique is likely going to be higher.

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Cricothyrotomy in Helicopter Emergency Medical Service Transport

Cited by 12 publications

References 8 publications

Emergency front-of-neck access in cardiac arrest: A scoping review

Emergency front-of-neck access in cardiac arrest: A scoping review

Success rate of prehospital emergency front-of-neck access (FONA): a systematic review and meta-analysis

Needle Cricothyroidotomy by Intensive Care Paramedics

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