Emergency cricothyrotomy: a randomised crossover trial comparing the wire-guided and catheter-over-needle techniques
| Autor: | B.G. Fikkers, J.G. van der Hoeven, F.J.A. van den Hoogen, H.A.M. Marres, S. Van Vugt |
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| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Time Factors Swine medicine.medical_treatment Cricoid Cartilage Tracheotomy medicine Animals Neurosensory disorders [UMCN 3.3] Cricothyrotomy Complication rate Cross-Over Studies business.industry Crossover study Cannula Surgery Catheter Anesthesiology and Pain Medicine Thyroid Cartilage Anesthesia Clinical Competence Microbial pathogenesis and host defense [UMCN 4.1] Emergencies Clinical competence business |
| Zdroj: | Anaesthesia, 59, 1008-11 Anaesthesia, 59, 10, pp. 1008-11 |
| ISSN: | 1365-2044 0003-2409 |
| DOI: | 10.1111/j.1365-2044.2004.03794.x |
| Popis: | Contains fulltext : 58606.pdf (Publisher’s version ) (Closed access) In a randomised crossover trial, we compared a wire-guided cricothyrotomy technique (Minitrach) with a catheter-over-needle technique (Quicktrach). Performance time, ease of method, accuracy in placement and complication rate were compared. Ten anaesthesiology and 10 ENT residents performed cricothyrotomies with both techniques on prepared pig larynxes. The catheter-over-needle technique was faster than the wire-guided (48 compared to 150 s, p < 0.001) and subjectively easier to perform (VAS-score 2.1 vs. 5.6, p < 0.001). Correct positioning of the cannula could be achieved in 95% and 85%, respectively (NS). There was one complication in the catheter-over-needle group compared to five in the wire-guided group. We conclude that the wire-guided minitracheotomy kit is unsuitable for emergency cricothyrotomies performed by inexperienced practitioners. On the other hand, the catheter-over-needle technique appears to be quick, safe and reliable. |
| Databáze: | OpenAIRE |
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