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A Randomized Comparison of Bougie-Assisted and TracheoQuick Plus Cricothyrotomies on a Live Porcine Model
Joint Authors
Henlin, Tomas
Tyll, Tomas
Michalek, Pavel
Ryska, Ondrej
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-12-19
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objectives.
Cricothyrotomy is a rescue procedure in “cannot intubate, cannot oxygenate” scenarios where other methods of nonsurgical airway management have failed.
We compared 2 cuffed cricothyrotomy sets, bougie-assisted cricothyrotomy (BACT) and novel percutaneous TracheoQuick Plus, on a live porcine model in a simulated periarrest situation.
Methods.
Thirty-four anesthetized minipigs were randomly allocated into two groups: BACT technique (n=17) and TracheoQuick Plus (n=17).
The primary outcome was duration of cricothyrotomy while secondary outcomes were total success rate, number of attempts, location of incision, changes in heart rate, oxygen saturation, and the incidence of complications.
Results.
BACT was significantly faster than TracheoQuick Plus cricothyrotomy, with a median time of 69 sec (IQR 56–85) versus 178 sec (IQR 152–272).
The total success rate was without difference.
94% of BACT was performed successfully on the first attempt, while in the TracheoQuick Plus group, it was only 18% (P<0.001).
Trauma to the posterior tracheal wall was observed once in the BACT group and 5 times in the TracheoQuick Plus group.
Oxygen saturation was significantly higher in the BACT group both during and after the procedure.
Conclusions.
BACT is superior to TracheoQuick Plus cricothyrotomy on a live animal model.
American Psychological Association (APA)
Henlin, Tomas& Michalek, Pavel& Tyll, Tomas& Ryska, Ondrej. 2017. A Randomized Comparison of Bougie-Assisted and TracheoQuick Plus Cricothyrotomies on a Live Porcine Model. BioMed Research International،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1136884
Modern Language Association (MLA)
Henlin, Tomas…[et al.]. A Randomized Comparison of Bougie-Assisted and TracheoQuick Plus Cricothyrotomies on a Live Porcine Model. BioMed Research International No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1136884
American Medical Association (AMA)
Henlin, Tomas& Michalek, Pavel& Tyll, Tomas& Ryska, Ondrej. A Randomized Comparison of Bougie-Assisted and TracheoQuick Plus Cricothyrotomies on a Live Porcine Model. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1136884
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1136884