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November 2014Volume 32, Issue 11, Pages 1391–1394
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A new strategy for difficult airway management with visual needle cricothyroidotomy: a manikin study☆☆☆

Yanmei Feng
x
Yanmei Feng
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Affiliations

  • Department of Respiratory Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P.R. China
, Ph.D., M.D.
,
Huisheng Deng
x
Huisheng Deng
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Affiliations

  • Department of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P.R. China
, Ph.D., M.D.
,
Xun Liu
x
Xun Liu
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Affiliations

  • Department of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P.R. China
, M.M.
,
Gang Xu
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Gang Xu
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  • Department of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P.R. China
, M.M.
,
Ziyang Huang
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Ziyang Huang
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  • Department of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P.R. China
, M.M.
,
Bingbing Yan
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Bingbing Yan
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  • Department of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P.R. China
, M.M.
,
Yijun Liu
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Yijun Liu
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  • Department of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P.R. China
, M.M.
,
Jingjing Lv
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Jingjing Lv
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  • Department of Geriatrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P.R. China
, M.M.
,
Yong Zhang
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Yong Zhang
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Affiliations

  • Department of Ultrasound, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P.R. China
, Ph.D.
,
Rui Guo
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Rui Guo
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Affiliations

  • Department of Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P.R. China

Correspondence

  • Corresponding author. Department of Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P.R. China, No. 1 Youyi Road, Yuzhong District, Chongqing 400016, P.R. China. Tel.: +86 139 83207360; fax: +86 023 68811487.
, Ph.D., M.D.correspondence
x
Rui Guo
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Affiliations

  • Department of Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P.R. China

Correspondence

  • Corresponding author. Department of Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P.R. China, No. 1 Youyi Road, Yuzhong District, Chongqing 400016, P.R. China. Tel.: +86 139 83207360; fax: +86 023 68811487.
DOI: http://dx.doi.org/10.1016/j.ajem.2014.08.024
|

References

  1. [1]Helm, M., Hossfeld, B., Jost, C., Lampl, L., Bockers, T. Emergency cricothyroidotomy performed by inexperienced clinicians–surgical technique versus indicator-guided puncture technique. Emerg Med J. 2013;30:646–649.
  2. [2]Engelhardt, T., Weiss, M. A child with a difficult airway: what do I do next?. Curr Opin Anaesthesiol. 2012;25:326–332.
  3. [3]Lv, J., Wu, J., Guo, R., Liu, X., Yan, B., Deng, H. Laboratory test of a visual sputum suctioning system. Respir Care. 2013;58:1637–1642.
  4. [4]Schuh, J.R., Bettendorf, R., Shapiro, D., Trowbridge, D.L., Lujan, E., Boyle, P. et al, Confirmation of needle cricothyroidotomy using an esophageal detector device in a porcine model. Mil Med. 2010;175:686–687.
  5. [5]Murad, I., Abib, S.C., Lima, D.P., Ferreira, P.S., dos Santos, E.Q., Bataglia, T.V. The influence of hemorrhagic shock on ventilation through needle cricothyroidotomy in pigs. Am J Emerg Med. 2012;30:1684–1690.
  6. [6]Timmermann, A. Supraglottic airways in difficult airway management: successes, failures, use and misuse. Anaesthesia. 2011;66:45–56.
  7. [7]Schaumann, N., Lorenz, V., Schellongowski, P., Staudinger, T., Locker, G.J., Burgmann, H. et al, Evaluation of Seldinger technique emergency cricothyroidotomy versus standard surgical cricothyroidotomy in 200 cadavers. Anesthesiology. 2005;102:7–11.
  8. [8]Dinsmore, J., Heard, A.M., Green, R.J. The use of ultrasound to guide time-critical cannula tracheotomy when anterior neck airway anatomy is unidentifiable. Eur J Anaesthesiol. 2011;28:506–510.
  9. [9]Mariappa, V., Stachowski, E., Balik, M., Clark, P., Nayyar, V. Cricothyroidotomy: comparison of three different techniques on a porcine airway. Anaesth Intensive Care. 2009;37:961–967.
  10. [10]Hamaekers, A.E., Borg, P.A., Enk, D. A bench study of ventilation via two self-assembled jet devices and the Oxygen Flow Modulator in simulated upper airway obstruction. Anaesthesia. 2009;64:1353–1358.

☆This study was performed at Chongqing Medical University.

☆☆Funding support: The present study is supported by the National Natural Science Foundation of China (81201173), the Chongqing Science and Technology Commission (CSTC, 2009ab5218) and Chongqing Municipal Health Bureau project (2009–2317).

© 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
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November 2014Volume 32, Issue 11, Pages 1391–1394