Prehospital cricothyroidotomy by physicians

Dan Leibovici, Brian Fredman, Ofer N. Gofrit, Joshua Shemer, Amir Blumenfeld, Shmuel C. Shapira

Research output: Contribution to journalArticlepeer-review

Abstract

To evaluate cricothyroidotomy in the field and the influence of physicians' medical specialty or previous experience on the success rate of this procedure, a retrospective study was conducted. Between October 1991 and April 1995, 29 cricothyroidotomies were performed in the prehospital setting in Israel. Twenty-six (89.6%) cricothyroidotomies were successfully performed. There was no evidence of higher success rate when the performers were surgeons, anesthesiologists, or intensive care specialists (100% success), compared to that of all other specialties (83.33%). All physicians had successfully completed the Advanced Trauma Life Support (ATLS) course, but only three had previously performed cricothyroidotomy. Acute complications included failure to establish an airway in 3 cases, minor bleeding in 2 cases, and an air leak around the cannula in 1 patient. These results show that following brief training (eg, the ATLS course) physicians are capable of performing emergency cricothyroidotomy in the field with a high success rate and minimal complications, regardless of medical specialty.

Original languageEnglish
Pages (from-to)91-93
Number of pages3
JournalAmerican Journal of Emergency Medicine
Volume15
Issue number1
DOIs
StatePublished - 1997

Keywords

  • Airway
  • cricothyroidotomy
  • prehospital

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