Favour the best in case of emergency cricothyroidotomy-a randomized cross-over trial on manikin focused training and simulation of common devices.


Journal

PeerJ
ISSN: 2167-8359
Titre abrégé: PeerJ
Pays: United States
ID NLM: 101603425

Informations de publication

Date de publication:
2024
Historique:
received: 20 12 2023
accepted: 30 06 2024
medline: 28 8 2024
pubmed: 28 8 2024
entrez: 28 8 2024
Statut: epublish

Résumé

Performing an emergency cricothyroidotomy (EC) is extremely challenging, the devices used should be easy to handle and the selected technique reliable. However, there is still an ongoing debate concerning the most superior technique. Three different techniques were compared using a standardized, simulated scenario regarding handling, performing, training and decision making: The scalpel-bougie technique (SBT), the surgical anatomical preparation technique (SAPT) and the Seldinger technique (ST). First, anaesthesia residents and trainees, paramedics and medical students (each group The simulated scenario revealed that SBT and SAPT were significantly faster than percutaneous EC with ST ( This study supports the use of a surgical technique for EC and also a regular training to create familiarity with the materials and the process itself.The trial was registered before study start on 11.11.2018 at

Sections du résumé

Background UNASSIGNED
Performing an emergency cricothyroidotomy (EC) is extremely challenging, the devices used should be easy to handle and the selected technique reliable. However, there is still an ongoing debate concerning the most superior technique.
Methods UNASSIGNED
Three different techniques were compared using a standardized, simulated scenario regarding handling, performing, training and decision making: The scalpel-bougie technique (SBT), the surgical anatomical preparation technique (SAPT) and the Seldinger technique (ST). First, anaesthesia residents and trainees, paramedics and medical students (each group
Results UNASSIGNED
The simulated scenario revealed that SBT and SAPT were significantly faster than percutaneous EC with ST (
Conclusion UNASSIGNED
This study supports the use of a surgical technique for EC and also a regular training to create familiarity with the materials and the process itself.The trial was registered before study start on 11.11.2018 at

Identifiants

pubmed: 39193513
doi: 10.7717/peerj.17788
pii: 17788
pmc: PMC11348895
doi:

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

e17788

Informations de copyright

© 2024 Didion et al.

Déclaration de conflit d'intérêts

The authors declare that they have no competing interests.

Auteurs

Nicole Didion (N)

Department of Anaesthesiology, Johannes-Gutenberg Universität Mainz, Mainz, Rhineland-Palatinate, Germany.

Fabian Pohlmann (F)

Department of Anaesthesiology, Johannes-Gutenberg Universität Mainz, Mainz, Rhineland-Palatinate, Germany.

Nina Pirlich (N)

Department of Anaesthesiology, Johannes-Gutenberg Universität Mainz, Mainz, Rhineland-Palatinate, Germany.

Eva Wittenmeier (E)

Department of Anaesthesiology, Johannes-Gutenberg Universität Mainz, Mainz, Rhineland-Palatinate, Germany.

Christoph Jänig (C)

Department of Anaesthesiology and Critical Care Medicine, Central hospital of the German armed forces, Koblenz, Rhineland-Palatinate, Germany.

Daniel Wollschläger (D)

Institute of Medical Biostatistics, Epidemiology and Informatics, University Medical Centre of the Johannes Gutenberg-University Mainz, Mainz, Rhineland-Palatinate, Germany.

Eva-Verena Griemert (EV)

Department of Anaesthesiology, Johannes-Gutenberg Universität Mainz, Mainz, Rhineland-Palatinate, Germany.

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Classifications MeSH