%0 Journal Article
%T Modified Cricothyroidotomy in Skill Laboratory
%A Hassan Soleimanpour
%A Samad Shams Vahdati
%A Ata Mahmoodpoor
%A Jafar Rahimi Panahi
%J Journal of Cardiovascular and Thoracic Research
%D 2012
%I Tabriz University of Medical Sciences
%X Introduction: Unsuccessful tracheal intubation is considered the most common cause of anesthesia death or brain damage. This study delineates our experience recommending modifications in the cricothyroidotomy technique .Methods: Thirty emergency medicine residents of participated in a study performed on the human simulator moulage in Skill Laboratory of Tabriz University of Medical Science. The cricothyroid membrane was punctured using a 16-gauge cannula. Later, J guide wire was advanced into trachea and standard 16-gauge intravenous cannula with a removable needle stylet withdrawn after the puncture being dilated by a dilator. Consequently, a cuffed tracheal tube (ID= 6) was introduced from the foramen. Results: From 30 residents, 18 residents performed cricothyroidotomy within 1 minute, 7 residents in 2 minutes and 5 residents failed to fulfill the procedure. Conclusion: Several studies using cadavers and human simulators have demonstrated the pre-hospital feasibility of this technique. However, descriptions of clinical pre-hospital experience with percutaneous cricothyroidotomy are limited. This study shows that skill lab may help residents to acquire techniques required in management of difficult airway.
%K Percutaneous Cricothyroidotomy
%K Difficult Airway Management
%K Skill Laboratory
%U http://dx.doi.org/ 10.5681/jcvtr.2012.018