dc.contributor.author |
Pairaudeau, CF |
en |
dc.contributor.author |
Mendonca, C |
en |
dc.contributor.author |
Hillermann, C |
en |
dc.contributor.author |
Qazi, I |
en |
dc.contributor.author |
Baker, Paul |
en |
dc.contributor.author |
Hodgson, RE |
en |
dc.contributor.author |
Radhakrishna, S |
en |
dc.date.accessioned |
2018-10-24T22:09:51Z |
en |
dc.date.issued |
2018-05 |
en |
dc.identifier.issn |
0003-2409 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/43409 |
en |
dc.description.abstract |
The Difficult Airway Society 2015 guidelines recommend and describe in detail a surgical cricothyroidotomy technique for the can't intubate, can't oxygenate (CICO) scenario, but this can be technically challenging for anaesthetists with no surgical training. Following a structured training session, 104 anaesthetists took part individually in a simulated can't intubate, can't oxygenate event using simulation and airway models to evaluate how well they could perform these front-of-neck access techniques. Main outcomes measures were: ability to correctly perform the technical steps; procedural time; and success rate. Outcomes were compared between palpable and impalpable cricothyroid membrane scenarios. Anaesthetists' technical abilities were good, as assessed by a video analysis checklist score. Mean (SD) procedural time was 44 (16) s and 65 (17) s for the palpable and impalpable cricothyroid membrane models, respectively (p ≤ 0.001). First-pass tracheal tube placement was obtained in 103 out of the 104 palpable cricothyroidotomies and in 101 out of the 104 impalpable cricothyroidotomies (p = 0.31). We conclude that anaesthetists can be trained to perform surgical front-of-neck access to an acceptable level of competence and speed when assessed using a simulator. |
en |
dc.format.medium |
Print-Electronic |
en |
dc.language |
eng |
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. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
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dc.subject |
Neck |
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dc.subject |
Laryngeal Muscles |
en |
dc.subject |
Humans |
en |
dc.subject |
Obesity |
en |
dc.subject |
Palpation |
en |
dc.subject |
Thyroidectomy |
en |
dc.subject |
Intubation, Intratracheal |
en |
dc.subject |
Anesthesiology |
en |
dc.subject |
Internship and Residency |
en |
dc.subject |
Clinical Competence |
en |
dc.subject |
Manikins |
en |
dc.subject |
Adult |
en |
dc.subject |
Emergency Medical Services |
en |
dc.subject |
Female |
en |
dc.subject |
Male |
en |
dc.subject |
Airway Management |
en |
dc.title |
Effect of palpable vs. impalpable cricothyroid membranes in a simulated emergency front-of-neck access scenario. |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1111/anae.14218 |
en |
pubs.issue |
5 |
en |
pubs.begin-page |
579 |
en |
pubs.volume |
73 |
en |
dc.rights.holder |
Copyright: The author |
en |
dc.identifier.pmid |
29349776 |
en |
pubs.end-page |
586 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Journal Article |
en |
pubs.elements-id |
722493 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Anaesthesiology |
en |
dc.identifier.eissn |
1365-2044 |
en |
pubs.record-created-at-source-date |
2018-01-20 |
en |
pubs.dimensions-id |
29349776 |
en |