Tag: Literature

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

On By Yen ChowIn Surgical airway1 Comment

Perioperative Medicine  |   August 2016

Emergency Cricothyrotomy Performed by Surgical Airway–naive Medical Personnel: A Randomized Crossover Study in Cadavers Comparing Three Commonly Used Techniques
Frédéric Heymans, M.D.; Georg Feigl, M.D.; Stephan Graber, M.D.; Delphine S. Courvoisier, Ph.D.; Kerstin M. Weber, M.D.; Pavel Dulguerov, M.D.

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