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 .

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

via and thanks to Mohammed Asiri


po: compact perpetual SALAD

Refinements on SALAD Sim


A po … moves thinking forward … new ideas or solutions … lateral thinking technique … an extraction from … hypothesis, suppose, possible and poetry

source: Wikipedia

No space intubations

Originally posted in my Facebook community page #TBayAirBasedRounds
More to add regarding bougie for this too

Optimizing position

Right paraglossal straight blade

VL but minimize hyperangulated approach and hyperangulated styletting/bougie

Scope via SGA

Bougie via rigid suction (HT @jducanto see below) or VL/IL channel or CMAC left side channel

Surgical is your last resort (actually ECMO is?)