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Submitted: 02 Jun 2012
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J Cardiovasc Thorac Res. 2012;4(3):73-76.
doi: 10.5681/jcvtr.2012.018
PMID: 24250989
PMCID: PMC3825362
  Abstract View: 531
  PDF Download: 667

Original Article

Modified Cricothyroidotomy in Skill Laboratory

Hassan Soleimanpour 1 * , Samad Shams Vahdati 1, Ata Mahmoodpoor 2, Jafar Rahimi Panahi 2, Mohammad Reza Afhami 2, Mahboub Pouraghaei 1, Samad EJ Golzari 3,4

1 Department of Emergency Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
2 Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, Iran
3 Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
4 Students Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran

Abstract

Introduction: Unsuccessful tracheal intubation is considered the most common cause of anesthesia death or brain damage. This study delineates our experience recommending modifications in the cricothyroidotomy technique .Methods: Thirty emergency medicine residents of participated in a study performed on the human simulator moulage in Skill Laboratory of Tabriz University of Medical Science. The cricothyroid membrane was punctured using a 16-gauge cannula. Later, J guide wire was advanced into trachea and standard 16-gauge intravenous cannula with a removable needle stylet withdrawn after the puncture being dilated by a dilator. Consequently, a cuffed tracheal tube (ID= 6) was introduced from the foramen. Results: From 30 residents, 18 residents performed cricothyroidotomy within 1 minute, 7 residents in 2 minutes and 5 residents failed to fulfill the procedure. Conclusion: Several studies using cadavers and human simulators have demonstrated the pre-hospital feasibility of this technique. However, descriptions of clinical pre-hospital experience with percutaneous cricothyroidotomy are limited. This study shows that skill lab may help residents to acquire techniques required in management of difficult airway.
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