Vessel dilator cricothyrotomy for transtracheal jet ventilation

Boyce, James R.; Peters, Glenn E.

doi:10.1007/bf03010780

Cited by 12 publications

(5 citation statements)

References 21 publications

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“…Since these early efforts at securing an obstructed airway physicians have sought to develop the most rapid and safest method for performing this lifesaving maneuver. A tracheostomy may be semielective or performed as an emergency life-saving intervention (2)(3)(4)(5)(6)(7)(8)(9)(10). A surgical airway may be secured with a scalpel blade or other sharp device.…”

Section: Introductionmentioning

confidence: 99%

Pediatric transtracheal and cricothyrotomy airway devices for emergency use: which are appropriate for infants and children?

Coté

Hartnick

2009

Pediatric Anesthesia

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SummaryCricothyrotomy or insertion of a transtracheal device is a life-saving maneuver that may be performed on an emergent or semi-elective basis as a means of bypassing an obstructed upper airway. A surgeon is trained to perform this life-saving procedure whereas most anesthesiologists are not facile with the scalpel. It is for this reason that many percutaneous devices have been developed for use by surgeons and nonsurgeons alike. Unfortunately, the majority of such devices are designed for use in adults and ⁄ or teenagers but are not appropriate for neonates and infants. The unique anatomy of the infant larynx, the small size of the cricothyroid membrane, and the technical difficulty of locating the correct anatomical structures make the use of most of these devices impractical if not outright dangerous in neonates and infants. This paper will review many (but not all) of the available devices, associated literature, pitfalls and dangers. It is emphasized that each clinician should become familiar with the advantages and disadvantages of these devices and obtain training with simulators or animal models. A strategy for management of the 'cannot ventilate, cannot oxygenate, cannot intubate' situation should be developed with age and size appropriate equipment.

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Section: Introductionmentioning

confidence: 99%

Pediatric transtracheal and cricothyrotomy airway devices for emergency use: which are appropriate for infants and children?

Coté

Hartnick

2009

Pediatric Anesthesia

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“…The commonly used iv catheters for TTJV are thin-walled, easily compressed and prone to kinking. Boyce et al have recommended the use of vessel dilator to provide a secure airway during TTJV 7 . We think there is a risk of endobronchial insertion of long vessel dilator when the tracheal entry site is located near the carina, such as in the case presented.…”

Section: Discussionmentioning

confidence: 99%

Tension pneumothorax resulting in cardiac arrest during emergency tracheotomy under transtracheal jet ventilation

et al. 1991

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Transtracheal jet ventilation (TTJV) has been popularized as a useful technique in acute upper airway obstruction. But its complications in emergency settings could be sometimes fatal. This report summarizes the course of a patient who suffered bilateral tension pneumothorax resulting in cardiac arrest during emergency tracheotomy under high frequency jet ventilation. Case ReportA 48-year-old man was admitted because of severe dyspnea. The patient was in a healthy condition until one week before, when he noticed dyspnea on exertion. He had a history of thyroid papillary adenocarcinoma for which he had undergone right thyroid lobectomy 10 years ago. After that, tumorectomy for local recurrence has been performed for three times. On admission, he was severely dyspneic with peripheral cyanosis and remarkable stridor. Arterial blood gas analysis in room air showed compensated respiratory acidosis with pH of 7.41, Pao2 of 54 mmHg, and Paco 2 of 57 mmHg. His hemoglobin was 14.9 g•dl-1 . Chest X-ray revealed severe tracheal stenosis

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“…Successful socialization by default then addresses other social issues that minoritized trainees face like stereotype threat and imposter syndrome. Recent articles discuss mentors' specific roles in socialization of minoritized mentees [6,11,12]. URM trainees require mentors to go beyond providing research experience and training.…”

Section: Kimberly J Edwards University Of Pennsylvania Usamentioning

confidence: 99%

“…Several articles outline the features and essence of effective mentorship, and strategies specific to people of color have also been outlined extensively [6,11,12,[18][19][20][21], and will therefore not be the focus of this contribution. The goals of this article are to 1) highlight the perspectives of URM trainees, mentors, and mentors of URM trainees on challenging me to step outside of my comfort zone and untap potential I didn't know existed.…”

Section: Kimberly J Edwards University Of Pennsylvania Usamentioning

confidence: 99%

Visions by WIMIN: Global Mentorship to Retain Underrepresented Trainees

et al. 2022

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Mentorship is a fundamental aspect that contributes to the success of a career in science, technology, engineering, and mathematics (STEM), particularly in academia. Research suggests that underrepresented minorities (URMs) often experience less quality mentorship and face barriers to finding successful mentor-mentee relationships. URM trainees in STEM face challenges that are not encountered by their majority peers or mentors, adding another level of complexity to establishing important relationships. Mentors of URM trainees must therefore mentor beyond general scientific training and tailor their mentorship to be more culturally appropriate and inclusive, allowing URM trainees to bring their whole selves to the table and leading to their effective socialization. Herein, we present the perspectives of group leaders and trainees from around the globe to highlight key aspects of creating successful mentor-mentee relationships that are sustainable and productive for both parties.

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Vessel dilator cricothyrotomy for transtracheal jet ventilation

Cited by 12 publications

References 21 publications

Pediatric transtracheal and cricothyrotomy airway devices for emergency use: which are appropriate for infants and children?

Pediatric transtracheal and cricothyrotomy airway devices for emergency use: which are appropriate for infants and children?

Tension pneumothorax resulting in cardiac arrest during emergency tracheotomy under transtracheal jet ventilation

Visions by WIMIN: Global Mentorship to Retain Underrepresented Trainees

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