<scp>P</scp>arker <scp>F</scp>lex‐<scp>T</scp>ip or standard tracheal tube for percutaneous emergency airway access?

Baker, Paul; Fernández, T. Martínez; Hamaekers, A.; Thompson, John M. D.

doi:10.1111/aas.12042

Cited by 3 publications

(3 citation statements)

References 25 publications

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“…As a consequence of such high bougie use, we changed to using Parker Flex tip ETTs (Parker Medical, Englewood, CO, USA). These have a soft bevelled tip that reduces the space between the bougie and the ETT, minimising the chance of impingement, commonly known as arytenoid hang‐up, as the ETT is advanced over the bougie …”

Section: Discussionmentioning

confidence: 99%

The Royal North Shore Hospital Emergency Department airway registry: Closing the audit loop

Fogg

Alkhouri²,

Vassiliadis

2015

Emerg Medicine Australasia

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Objective We aim to investigate whether a bundle of changes made to the practice of endotracheal intubation in our ED was associated with an improvement in first pass success rate and a reduction in the incidence of complications. Methods We used a prospective observational study. Results The data on 360 patients who were intubated during an 18‐month period following the introduction of these changes were compared with our previously published observational data. Success on first attempt at intubation improved 83.4% to 93.9% (P < 0.0001). The proportion of patients with one or more complication fell from 29.0% to 19.4% (P < 0.042). Oesophageal intubation fell from 4.0% to 0.3% (P < 0.001), and there was a non‐significant reduction in the rate of desaturation, from 15.6% to 10.9% (P < 0.07). Conclusion We have shown that, through the introduction of a bundle of changes that spans the domains of staff training, equipment and practice standardisation, we have made significant improvements in the safety of patients undergoing endotracheal intubation in our ED.

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Section: Discussionmentioning

confidence: 99%

The Royal North Shore Hospital Emergency Department airway registry: Closing the audit loop

Fogg

Alkhouri²,

Vassiliadis

2015

Emerg Medicine Australasia

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“…Both failures occurred in cadavers with neck circumferences greater than 40 centimetres. 24 Interestingly, an early report of the scalpel bougie technique described the use of this technique as a solution for patients with fat necks. 23 The next step, after a failed scalpel bougie technique, is a longitudinal scalpel incision in the neck and blunt dissection to digitally identify anatomical landmarks, prior to a cricothyroidotomy or tracheotomy.…”

Section: Prevention and Preparationmentioning

confidence: 99%

Percutaneous emergency airway access; prevention, preparation, technique and training

Kristensen

Teoh

Baker

2015

British Journal of Anaesthesia

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“…A 6.0‐mm standard tracheal tube has the minimum internal diameter required to pass successfully over the 14‐F Frova bougie. Tracheal tube tip design has not yet been shown to have an impact .…”

mentioning

confidence: 99%

Scalpel‐bougie cricothyroidotomy

2014

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Parker Flex‐Tip or standard tracheal tube for percutaneous emergency airway access?

Abstract: The Parker Flex-Tip tube and a standard tracheal tube perform equally well during PEAA procedures on adult cadavers.

Cited by 3 publications

References 25 publications

The Royal North Shore Hospital Emergency Department airway registry: Closing the audit loop

The Royal North Shore Hospital Emergency Department airway registry: Closing the audit loop

Percutaneous emergency airway access; prevention, preparation, technique and training

Scalpel‐bougie cricothyroidotomy

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