Scalpel‐bougie cricothyroidotomy

Parameswaran, A.; Beckmann, L.; Nadarajah, P.

doi:10.1111/anae.12695

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…9 A 5.0 mm Melker™ (Cook Medical) cricothyroidotomy tube may be appropriate in this setting. 230 Ensure the smaller tracheal tube size fits over the type of bougie used in your unit.…”

Section: Priming For Fonamentioning

confidence: 99%

Guidelines for the management of tracheal intubation in critically ill adults

Higgs

McGrath²,

Goddard

et al. 2018

British Journal of Anaesthesia

646

521

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These guidelines describe a comprehensive strategy to optimize oxygenation, airway management, and tracheal intubation in critically ill patients, in all hospital locations. They are a direct response to the 4 National Audit Project of the Royal College of Anaesthetists and Difficult Airway Society, which highlighted deficient management of these extremely vulnerable patients leading to major complications and avoidable deaths. They are founded on robust evidence where available, supplemented by expert consensus opinion where it is not. These guidelines recognize that improved outcomes of emergency airway management require closer attention to human factors, rather than simply introduction of new devices or improved technical proficiency. They stress the role of the airway team, a shared mental model, planning, and communication throughout airway management. The primacy of oxygenation including pre- and peroxygenation is emphasized. A modified rapid sequence approach is recommended. Optimal management is presented in an algorithm that combines Plans B and C, incorporating elements of the Vortex approach. To avoid delays and task fixation, the importance of limiting procedural attempts, promptly recognizing failure, and transitioning to the next algorithm step are emphasized. The guidelines recommend early use of a videolaryngoscope, with a screen visible to all, and second generation supraglottic airways for airway rescue. Recommendations for emergency front of neck airway are for a scalpel-bougie-tube technique while acknowledging the value of other techniques performed by trained experts. As most critical care airway catastrophes occur after intubation, from dislodged or blocked tubes, essential methods to avoid these complications are also emphasized.

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“…9 A 5.0 mm Melker™ (Cook Medical) cricothyroidotomy tube may be appropriate in this setting. 230 Ensure the smaller tracheal tube size fits over the type of bougie used in your unit.…”

Section: Priming For Fonamentioning

confidence: 99%

Guidelines for the management of tracheal intubation in critically ill adults

Higgs

McGrath²,

Goddard

et al. 2018

British Journal of Anaesthesia

646

521

View full text Add to dashboard Cite

show abstract

“…Seit einiger Zeit hält v. a. im angloamerikanischen Raum eine modifizierte Technik der Notfallkoniotomie Einzug [31]. Dort ist der Einsatz eines Bougies, als Hilfsmittel im Airwaymanagement viel weiter verbreitet als im deutschsprachigen Raum.…”

Section: Skalpell-bougie-koniotomietechnikunclassified

Notfallkoniotomie – chirurgisch oder doch Punktion?

Mohr

Göring

Knapp

2018

Notfall Rettungsmed

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Scalpel‐bougie cricothyroidotomy

Cited by 2 publications

References 5 publications

Guidelines for the management of tracheal intubation in critically ill adults

Guidelines for the management of tracheal intubation in critically ill adults

Notfallkoniotomie – chirurgisch oder doch Punktion?

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