Emergency tracheotomy in the dental office

Sadda, Raid; Turner, Matthew

doi:10.1016/j.ijom.2009.06.015

Cited by 4 publications

(3 citation statements)

References 9 publications

(4 reference statements)

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“…The complication rate for the procedure is 5~40% and the mortality rate is about 2% (4) . The most common complications are bleeding, subcutaneous emphysema, pneumothorax, pneumomediastinum, cartilage destruction, tracheal stenosis, and tracheomalacia (1,5) .…”

Section: Discussionmentioning

confidence: 99%

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Self-tracheotomy in acute airway obstruction: A rare case.

Özdemir¹,

Atar²,

Yıldırım³

et al. 2018

Okmeydani Medical Journal

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Section: Discussionmentioning

confidence: 99%

“…Its indications are prolonged mechanical ventilation, acute upper airway obstruction, and increased secretions in the lower airways that cannot be aspirated (1) . A cricothyrotomy is a simpler surgical procedure that can be used to save patients' lives, even outside an operating room (2) .…”

Section: Introductionmentioning

confidence: 99%

Self-tracheotomy in acute airway obstruction: A rare case.

Özdemir¹,

Atar²,

Yıldırım³

et al. 2018

Okmeydani Medical Journal

View full text Add to dashboard Cite

show abstract

“…Analyzing the current literature on the topic, some factors can be identified to support the choice of OST rather than CT in case of ETI failure. The first is related to anatomical factors: according to some authors, CT may result challenging in patients with destructive laryngeal traumas or with a large neck [27,40], even though others suggest this approach in obese patients considering the easier detectability of the cricothyroid membrane [38].…”

Section: Esa: Should Emergency Tracheotomy Be Preferred Over Cricothymentioning

confidence: 99%

Emergency surgical tracheotomy in the era of COVID-19 pandemic

Muriana¹,

Ciriaco²,

Carretta³

et al. 2021

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At the beginning of 2020 a novel variant of coronavirus, named SARS-CoV-2, was identified as responsible for the development of severe pneumonia and acute respiratory distress syndrome (ARDS) with very high mortality, exceeding 30%. The disease caused by SARS-CoV-2, called Coronavirus Disease 2019 (COVID-19), was declared a pandemic by WHO on March 11th, 2020. Patients affected by COVID-19 may present with subtle, specific symptoms, but the sudden onset of life-threatening acute respiratory failure is not uncommon. The peculiarities of the disease combined with the single patient’s comorbidities, e.g. advanced age and cardiovascular diseases, plus hypoxia and hypotension secondary to ARDS, and multiorgan failure, may lead to unexpected difficulties in the case of tracheal intubation. The occurrence of the ‘Cannot-Intubate-Cannot-Oxygenate’ (CICO) scenario in COVID-19 patients represents a hazard not only for the patients but also for the assisting healthcare workers due to the high risk of aerosol-generating infected particles during conventional rescue airway procedures. While international consensus guidelines on the management of CICO scenario in COVID-19 patients are still lacking, there is evidence that both scalpel cricothyrotomy (CT) and open surgical tracheotomy (OST) represent valid alternatives for the establishment of a front-of-neck emergency airway. Primary CT requires a staged conversion to formal tracheotomy; conversely, OST represents a definitive mastery of the airway in COVID-19 patients in case of prolonged mechanical ventilation dependency, avoiding a second procedure and further exposure to aerosols. Furthermore, in patients with facial trauma and/or head and neck tumors, OST allows obtaining safe airway control. In the context of the current pandemic, emergency OST procedure in SARS-CoV-2 positives (or with unknown status) requires adequate arrangements and the use of proper personal protective equipment to limit risks for clinicians.

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Case 61: An Airway Emergency in an Out-of-Hospital Surgical Office

Brock‐Utne

2017

Clinical Anesthesia

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Emergency tracheotomy in the dental office

Cited by 4 publications

References 9 publications

Self-tracheotomy in acute airway obstruction: A rare case.

Self-tracheotomy in acute airway obstruction: A rare case.

Emergency surgical tracheotomy in the era of COVID-19 pandemic

Case 61: An Airway Emergency in an Out-of-Hospital Surgical Office

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