Cricothyrotomy Is Faster Than Tracheostomy for Emergency Front-of-Neck Airway Access in Dogs
Article
Article Title | Cricothyrotomy Is Faster Than Tracheostomy for Emergency Front-of-Neck Airway Access in Dogs |
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ERA Journal ID | 210491 |
Article Category | Article |
Authors | Croton, Catriona (Author), Hardjo, Sureiyan (Author), Haworth, Mark (Author), Woldeyohannes, Solomon (Author) and Purcell, Sarah Leonie (Author) |
Journal Title | Frontiers in Veterinary Science |
Journal Citation | 7, pp. 1-9 |
Article Number | 593687 |
Number of Pages | 9 |
Year | 2021 |
Place of Publication | Switzerland |
ISSN | 2297-1769 |
Digital Object Identifier (DOI) | https://doi.org/10.3389/fvets.2020.593687 |
Web Address (URL) | https://www.frontiersin.org/articles/10.3389/fvets.2020.593687/full |
Abstract | Objectives: In novice final year veterinary students, we sought to: (1) compare the procedure time between a novel cricothyrotomy (CTT) technique and an abbreviated tracheostomy (TT) technique in canine cadavers, (2) assess the success rate of each procedure, (3) assess the complication rate of each procedure via a damage score, (4) evaluate the technical difficulty of each procedure and (5) determine the preferred procedure of study participants for emergency front-of-neck access. Materials and Methods: A prospective, cross-over, block randomised trial was performed, where veterinary students completed CTT and TT procedures on cadaver dogs. Eight students were recruited and performed 32 procedures on 16 dogs. A generalised estimating equation approach to modelling the procedure times was used. Results: The procedure time was significantly faster for the CTT than the TT technique, on average (p < 0.001). The mean time taken to complete the CTT technique was 49.6 s (95% CI: 29.5–69.6) faster on average, with a mean CTT time of less than half that of the TT. When taking into account the attempt number, the procedure time for a CTT was 66.4 s (95% CI: 38.9–93.9) faster than TT for the first attempt, and for the second attempt, this was 32.7 s (95% CI: 15.2–50.2) faster, on average. The success rate for both procedures was 100% and there was no difference detected in the damage or difficulty scores (P = 0.13 and 0.08, respectively). Seven of eight participants preferred the CTT. Clinical Significance: CTT warrants consideration as the primary option for emergency front-of-neck airway access for dogs. |
Keywords | airway obstruction; BACT; CICO; cricothyrotomy; difficult airway; eFONA; intubation; tracheostomy (TT) |
ANZSRC Field of Research 2020 | 300912. Veterinary surgery |
300901. Veterinary anaesthesiology and intensive care | |
Public Notes | Copyright © 2021 Hardjo, Croton, Woldeyohannes, Purcell and Haworth. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
Byline Affiliations | School of Sciences |
University of Queensland | |
Institution of Origin | University of Southern Queensland |
https://research.usq.edu.au/item/q6w04/cricothyrotomy-is-faster-than-tracheostomy-for-emergency-front-of-neck-airway-access-in-dogs
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