Developing Cricothyroidotomy Skills Using a Biomaterial-Covered Model

Senuren, Cigdem Ozkaya; Yaylacı, Serpil; Kayayurt, Kamil; Aldinc, Hasan; Gun, Cem; Şimşek, Perihan; Tatlı, Özgür; Turkmen, Süha

doi:10.1016/j.wem.2020.05.003

Cited by 4 publications

(10 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…(See supplemental 1 , supplemental 2 , and supplemental 3 .) 10 , 11 Participants were not assessed for previous competency. Institutional review board approval was granted for an anonymous survey of an educational experience with dissemination of survey results for publication.…”

Section: Methodsmentioning

confidence: 99%

Application of a Low-cost, High-fidelity Proximal Phalangeal Dislocation Reduction Model for Clinician Training

Lord,

Geary,

Lord

2023

WestJEM

View full text Add to dashboard Cite

Introduction: Patients present to the emergency department (ED) relatively commonly with traumatic closed proximal interphalangeal joint (PIPJ) dislocations, an orthopedic emergency. There is a paucity of teaching models and training simulations for clinicians to learn either the closed dislocated dorsal or volar interphalangeal joint reduction technique. We implemented a teaching model to demonstrate the utility of a novel reduction model designed from three-dimensional (3D) printable components that are easy to connect and do not require further machining or resin models to complete. Methods: Students watched a two-minute video and a model demonstration by the authors. Learners including emergency medicine (EM) residents and physician assistant fellows assessed model fidelity, convenience, perceived competency, and observed competency. Results: Seventeen of 21 (81%) participants agreed the model mimicked dorsal and volar PIPJ dislocations. Nineteen of 21 (90%) agreed the model was easy to use, 21/21 (100%) agreed the dorsal PIPJ model and 20/21 (95%) agreed the volar PIPJ model improved their competency. Conclusion:Our 3D-printed, dorsal and volar dislocation reduction model is easy to use and affordable, and it improved perceived competency among EM learners at an academic ED. [West J Emerg Med. 2023;24(5)839-846.]

show abstract

Section: Methodsmentioning

confidence: 99%

Application of a Low-cost, High-fidelity Proximal Phalangeal Dislocation Reduction Model for Clinician Training

Lord,

Geary,

Lord

2023

WestJEM

View full text Add to dashboard Cite

show abstract

“…In order to assess the impact of review and feedback sessions which took place between two attempts on the trainees’ performance, each attempt was scored by two emergency medicine specialists, one who watched the procedure live and the other from the video recording. The scorers used a checklist for the steps of cricothyroidotomy, which was used previously by Ozkaya et al [ 13 ] ( Appendix A ). These two emergency medicine specialists (scorers) were briefed about the procedure they would evaluate and the checklist they would use.…”

Section: Methodsmentioning

confidence: 99%

“…Emergency cricothyroidotomy is a potentially life-saving procedure performed to provide oxygenation if neither intubation nor a mask or mouth-to-mouth ventilation is possible [ 12 ]. However, cricothyroidotomy may not always be performed successfully [ 13 ]. Its life-saving potential necessitates training and experience for clinicians [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of self versus expert-assisted feedback for cricothyroidotomy training: a randomized trial

et al. 2022

Self Cite

View full text Add to dashboard Cite

Background The self-video feedback method may have the potential to provide a low-cost alternative to physician-driven simulation-based training. This study aimed to assess the utility of two video feedback methods by comparing the improvement in performing cricothyroidotomy procedure following self video feedback (trainees review their performance by themselves) and expert-assisted video feedback (trainees review their performance while an emergency physician provides additional feedback). Methods This study was pretest-posttest and two-group designed research performed at a university simulation center with 89 final-year medical students and used a cricothyroidotomy simulation model. After seeing an educational presentation and a best practice video, trainees were randomized into two groups; self video feedback group (SVFG) and expert-assisted video feedback group (EVFG). They performed the cricothyroidotomy before and after the feedback. The procedures were also recorded and scored by two emergency physicians. Results There was a statistically significant improvement between pre-feedback and post-feedback assessments in terms of scores received and time needed for the procedures in both SVFG and EVFG groups (p < 0.05). Additionally, the post-feedback assessment scores were higher and time needed for the procedure was lower in the EVFG when compared with SVFG (p < 0.05 for both). Conclusions Results demonstrated significant improvement in cricothyroidotomy performance with both types of video feedback method. Even though the improvement was better in the EVFG compared to the SVFG, the self video feedback may have value especially in situations where expert-assisted feedback is not possible.

show abstract

“…Various simulation methods have been used for these comparisons. The samples for practical training vary from donated bodies [ 5 – 7 ] to simulators [ 8 ] and animals such as sheep and pigs [ 9 – 11 ].…”

Section: Introductionmentioning

confidence: 99%

Anatomical morphometry for Cricothyrotomy puncture and incision

et al. 2023

View full text Add to dashboard Cite

Purpose Emergency surgical airway securing techniques include cricothyrotomy, puncture, and incision. While the instruments used for these methods vary in size, no index of laryngeal morphology exists to guide instrument selection. Therefore, we measured the morphology of the cricothyroid ligament in Japanese individuals and assessed its correlations with height. Methods This retrospective study used 61 anatomical practice specimens. The cricothyroid ligament of the laryngeal area was dissected, and a frontal image was recorded. Next, images of the midsagittal sections of the larynx and trachea were recorded. The width and height of the cricothyroid ligament were measured from the frontal images, and the depth of the larynx and the angle to the lower edge of the cricothyroid plate were measured from the mid-sagittal cross-sectional images. The height was estimated from the tibial lengths of the specimens and statistically analyzed for correlations. 　 Results The width and depth were significantly greater in males. Overall, there was a slight correlation between the results of each laryngeal measurement and estimated height for all items. Conclusion The morphology of cricothyrotomy revealed that the width and depth of the laryngeal area varied according to sex. Moreover, the results also showed a correlation with the estimated height. Thus, it is important to predict the morphology of the laryngeal area and cricothyroid ligament by considering factors such as patient sex, weight, and height.

show abstract

Developing Cricothyroidotomy Skills Using a Biomaterial-Covered Model

Cited by 4 publications

References 24 publications

Application of a Low-cost, High-fidelity Proximal Phalangeal Dislocation Reduction Model for Clinician Training

Application of a Low-cost, High-fidelity Proximal Phalangeal Dislocation Reduction Model for Clinician Training

Comparison of self versus expert-assisted feedback for cricothyroidotomy training: a randomized trial

Anatomical morphometry for Cricothyrotomy puncture and incision

Contact Info

Product

Resources

About