Results of a surgical cricothyrotomy workshop with a pig trachea model

Autor: C, Añez Simón, V, Serrano Gonzalvo, L H, Carrillo Luna, V, Farré Nebot, C M, Holgado Pascual
Rok vydání: 2018
Předmět:
Zdroj: Revista espanola de anestesiologia y reanimacion. 66(3)
ISSN: 2341-1929
Popis: The latest Difficult Airway Society (DAS) guidelines recommend that all anaesthesiologists should to be trained in the performing of a surgical cricothyrotomy (CtQ). The aim of this study was to analyse the learning results of a CtQ workshop by assessing the success rate and time to perform CtQ on a porcine tracheal model.A workshop was designed in which each student completed a questionnaire with demographic data and theoretical knowledge about surgical approaches of airway. During the following hour, a review was presented theoretical aspects of CtQ. The model was shown and a CtQ was performed using a classical technique. Afterwards, in groups of 3-4 students with an instructor, each one of the students performed 6 CtQ. A record was made on whether the ventilation was correct, the time to perform CtQ, and the ease of performing the CtQ by the students and instructors. Finally, students completed a questionnaire on the theoretical aspects. Students and instructors performed a workshop debriefing. A statistical analysis was performed, considering a P-value0.05 as statistically significant.A total of 8 workshop sessions were held with a total of 91 students. At first attempt, 86% of students performed a CtQ with successful ventilation, and 92% at the sixth attempt (P.0001). Time taken was 163 [107-211] seconds at first attempt, and 70 [55-85] seconds at the sixth (P.0001). At the end of workshop, students had improved their theoretical knowledge (P.0001) and perception of the ease of the technique.Workshop performance improved theoretical knowledge and competence in surgical cricothyrotomy.
Databáze: OpenAIRE