Emergency Airway Management Part 4 | 合法醫療器材資訊網

由JMorgenstern著作—IntheNAP4audit,60%ofneedlecricothyroidotomyattemptsfailed.Incontrast,100%ofsurgicalcricothyroidotomyattemptsweresuccessful.

Case

A 55 year old man was found unconscious in the bathroom by his family. After appropriate resuscitation and pre-oxygenation, you determine that there are no major predictors of difficulty, and so proceed with RSI. On 2 attempts at laryngoscopy, both direct and video, you cannot visualize the cords. The LMA won’t sit properly, and now his oxygen saturation is 70% despite your best attempt at bag valve mask ventilation…

My approach

In the can’t intubate, can’t oxygenate scenario, I recommend a surgical approach to cricothyroidotomy. In the NAP4 audit, 60% of needle cricothyroidotomy attempts failed. In contrast, 100% of surgical cricothyroidotomy attempts were successful. (Cook 2011; Nolan 2011) Although there are a few studies indicating that guidewire techniques are equally fast to surgical techniques, such studies are not consistent. More importantly, such studies can never repr...

Cricothyrotomy | 合法醫療器材資訊網

Emergency cricothyrotomy (cricothyroidotomy) | 合法醫療器材資訊網

由 JC Sakles 著作 — Cricothyrotomy (also called cricothyroidotomy) is a procedure that involves placing a tube through an incision in the cricothyroid membrane ... Read More

Needle cricothyroidotomy with percutaneous transtracheal ... | 合法醫療器材資訊網

由 MK Mittal 著作 · 被引用 2 次 — Surgical cricothyroidotomy — Surgical cricothyroidotomy is an emergent airway approach in which the clinician makes an incision in the ... Read More

Cricothyroidotomy | 合法醫療器材資訊網

2008年5月29日 — About the Procedure ... Cricothyroidotomy is an emergent procedure performed on patients experiencing severe respiratory distress in whom ... Read More

Performing an Emergent Cricothyroidotomy | 合法醫療器材資訊網

2017年11月1日 — The cricothyroidotomy is an emergency procedure that is performed to obtain an airway when you cannot obtain another means of a definitive ... Read More

Surgical cricothyroidotomy Seldinger | 合法醫療器材資訊網

2019年2月24日 — Video courtesy of Therese Canares, MD, and Jonathan Valente, MD, Rhode Island Hospital, Brown University. Read More

Surgical Cricothyroidotomy • LITFL Medical Blog • CCC Airway | 合法醫療器材資訊網

2020年11月3日 — Surgical Cricothyroidotomy · Make a longitudinal midline incision over the cricoid membrane · Identify the cricothyroid membrane via blunt ... Read More

Cricothyroidotomy: Overview | 合法醫療器材資訊網

2019年10月1日 — Cricothyroidotomy, also known as cricothyrotomy, is an important emergency procedure that is used to obtain an airway when other, more ... Read More

Emergency Airway Management Part 4 | 合法醫療器材資訊網

由 J Morgenstern 著作 — In the NAP4 audit, 60% of needle cricothyroidotomy attempts failed. In contrast, 100% of surgical cricothyroidotomy attempts were successful. Read More

Three | 合法醫療器材資訊網

由 A MacIntyre 著作 · 2007 · 被引用 40 次 — Objective: Surgical cricothyroidotomy is the airway of choice in combat. It is too dangerous for combat medics to perform orotracheal intubation, because of the ... Read More

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