Confirmation of needle cricothyroidotomy using an esophageal detector device in a porcine model.

Document Type

Article

Abstract

The difficult intubation is one of the most trying situations encountered in airway management. Transtracheal jet ventilation via needle cricothyroidotomy can provide temporary oxygenation in this critical situation in a minimally invasive fashion. The esophageal detector device (EDD) has been previously shown to be effective in determining the tracheal placement of endotracheal tubes. In this experiment, three commonly available EDDs are utilized to accurately identify 15 of 15 intratracheal placements of a 16-gauge i.v. catheter in five cadaveric domestic swine. The incorporation of EDDs in i.v. catheter placement for needle cricothyroidotomy is shown to be effective and merits further study. Likewise, further investigation is needed to identify a standardized apparatus for needle cricothyroidotomy in emergent situations.

Medical Subject Headings

Anesthesiology; Animals; Cricoid Cartilage; Equipment Design; Esophagus; Intubation, Intratracheal; Needles; Punctures; Swine; Thyroid Cartilage

Publication Date

9-1-2010

Publication Title

Military medicine

ISSN

0026-4075

Volume

175

Issue

9

First Page

686

Last Page

687

PubMed ID

20882932

Digital Object Identifier (DOI)

10.7205/milmed-d-09-00236

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