Airway Stepping Stones

An ongoing collection …

Have suction(s) on and ready and head of bed up As Soon As Possible for all airways: BLS BVM SGA ETT and/or FONA

If there is time, do a formalized checklist

Choice of suction … rigid large bore ventless and double up

Advertisements

Front of Neck Access/Surgical Airway Kits

Continue reading “Front of Neck Access/Surgical Airway Kits”

Bloody cric trainer/sim

Collection of resources and ideas for surgical airway front of neck access trainer/simulation. Contact me to chat about it if you wish further details. Follow me on twitter @TBayEDguy and we will direct message to chat.

Ideas

Cadaver Study Novice Cricothyrotomy via Scalpel-Finger-Hook-Shiley vs. Melker vs. QuickTrach

Perioperative Medicine  |   August 2016

Emergency Cricothyrotomy Performed by Surgical Airway–naive Medical Personnel: A Randomized Crossover Study in Cadavers Comparing Three Commonly Used Techniques

Success rates (P = 0.025)

Surgical cricothyrotomy 95%,
QuickTrach 55%
Melker 50%
The majority of failures were due to cannula misplacement (15 of 20).
Few significant complications were found in successful procedures. No cadaver biometric parameters were correlated with success of the procedure.

Mean procedure time in successes (P < 0.001)

Surgical cricothyrotomy 94 ± 35 s
QuickTrach II 77 ± 34 s
Melker 149 ± 24 s .

http://anesthesiology.pubs.asahq.org/article.aspx?articleid=2528137

Heymans et al, Emerg Cric Naive Cadavers Three Techniques, Periop Med 2016

via and thanks to Mohammed Asiri