A Randomized Comparison of Bougie-Assisted and TracheoQuick Plus Cricothyrotomies on a Live Porcine Model
| Autor: | Tomas Tyll, Tomas Henlin, Pavel Michalek, Ondrej Ryska |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Time Factors
Percutaneous Article Subject Swine medicine.medical_treatment lcsh:Medicine General Biochemistry Genetics and Molecular Biology Cricoid Cartilage Live animal Random Allocation 03 medical and health sciences 0302 clinical medicine Primary outcome fluids and secretions Heart Rate 030202 anesthesiology Heart rate Intubation Intratracheal Animals Medicine Cricothyrotomy General Immunology and Microbiology business.industry lcsh:R 030208 emergency & critical care medicine General Medicine bacterial infections and mycoses equipment and supplies Oxygen Median time Anesthesia Models Animal Swine Miniature Airway management Tracheotomy Total success rate business Research Article |
| Zdroj: | BioMed Research International, Vol 2017 (2017) BioMed Research International |
| ISSN: | 2314-6141 2314-6133 |
| Popis: | Objectives. Cricothyrotomy is a rescue procedure in “cannot intubate, cannot oxygenate” scenarios where other methods of nonsurgical airway management have failed. We compared 2 cuffed cricothyrotomy sets, bougie-assisted cricothyrotomy (BACT) and novel percutaneous TracheoQuick Plus, on a live porcine model in a simulated periarrest situation. Methods. Thirty-four anesthetized minipigs were randomly allocated into two groups: BACT technique (n=17) and TracheoQuick Plus (n=17). The primary outcome was duration of cricothyrotomy while secondary outcomes were total success rate, number of attempts, location of incision, changes in heart rate, oxygen saturation, and the incidence of complications. Results. BACT was significantly faster than TracheoQuick Plus cricothyrotomy, with a median time of 69 sec (IQR 56–85) versus 178 sec (IQR 152–272). The total success rate was without difference. 94% of BACT was performed successfully on the first attempt, while in the TracheoQuick Plus group, it was only 18% (P<0.001). Trauma to the posterior tracheal wall was observed once in the BACT group and 5 times in the TracheoQuick Plus group. Oxygen saturation was significantly higher in the BACT group both during and after the procedure. Conclusions. BACT is superior to TracheoQuick Plus cricothyrotomy on a live animal model. |
| Databáze: | OpenAIRE |
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