Accuracy of surface landmark identification for cannula cricothyroidotomy.

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dc.contributor.author Elliott, DS en
dc.contributor.author Baker, Paul en
dc.contributor.author Scott, MR en
dc.contributor.author Birch, CW en
dc.contributor.author Thompson, John en
dc.coverage.spatial England en
dc.date.accessioned 2012-03-26T02:30:03Z en
dc.date.issued 2010-09 en
dc.identifier.citation Anaesthesia 65(9):889-894 Sep 2010 en
dc.identifier.uri http://hdl.handle.net/2292/15351 en
dc.description.abstract Cannula cricothyroidotomy is recommended for emergency transtracheal ventilation by all current airway guidelines. Success with this technique depends on the accurate and rapid identification of percutaneous anatomical landmarks. Six healthy subjects underwent neck ultrasound to delineate the borders of the cricothyroid membrane. The midline and bisecting transverse planes through the membrane were marked with an invisible ink pen which could be revealed with an ultraviolet light. Eighteen anaesthetists were then invited to mark an entry point for cricothyroid membrane puncture. Only 32 (30%) attempts by anaesthetists accurately marked the skin area over the cricothyroid membrane. Of these only 11 (10%) marked over the centre point of the membrane. Entry point accuracy was not significantly affected by subjects' weight, height, body mass index, neck circumference or cricothyroid dimensions. Consultant and registrar anaesthetists were significantly more accurate than senior house officers at correctly identifying the cricothyroid membrane. Accuracy of percutaneously identifying the cricothyroid membrane was poor. Ultrasound may assist in identifying anatomical landmarks for cricothyroidotomy. en
dc.language eng en
dc.publisher The Association of Anaesthetists of Great Britain and Ireland en
dc.relation.ispartofseries Anaesthesia en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained form http://www.sherpa.ac.uk/romeo/issn/0003-2409/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.subject Adult en
dc.subject Aged en
dc.subject Anthropometry en
dc.subject Body Mass Index en
dc.subject Cricoid Cartilage en
dc.subject Emergencies en
dc.subject Female en
dc.subject Humans en
dc.subject Male en
dc.subject Middle Aged en
dc.subject Neck en
dc.subject Thyroid Cartilage en
dc.subject Tracheotomy en
dc.subject Ultrasonography, Interventional en
dc.subject Young Adult en
dc.title Accuracy of surface landmark identification for cannula cricothyroidotomy. en
dc.type Journal Article en
dc.identifier.doi 10.1111/j.1365-2044.2010.06425.x en
pubs.issue 9 en
pubs.begin-page 889 en
pubs.volume 65 en
dc.rights.holder Copyright: The Association of Anaesthetists of Great Britain and Ireland; The Authors en
dc.identifier.pmid 20645953 en
pubs.end-page 894 en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 183802 en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Anaesthesiology en
pubs.org-id Paediatrics Child & Youth Hlth en
dc.identifier.eissn 1365-2044 en
dc.identifier.pii ANA6425 en
pubs.record-created-at-source-date 2012-03-29 en
pubs.dimensions-id 20645953 en


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