Prehospital cricothyroidotomy by physicians

被引：37

作者：

Leibovici, D ^{[1
]}

Fredman, B ^{[1
]}

Gofrit, ON ^{[1
]}

Shemer, J ^{[1
]}

Blumenfeld, A ^{[1
]}

Shapira, SC ^{[1
]}

机构：

[1] ISRAEL DEF FORCES MED CORPS,JERUSALEM,ISRAEL

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 1997年 / 15卷 / 01期

关键词：

airway; prehospital; cricothyroidotomy; AIRWAY MANAGEMENT; CRICOTHYROTOMY; EXPERIENCE;

D O I：

10.1016/S0735-6757(97)90059-0

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

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. Copyright (C) 1997 by W.B. Saunders Company

引用

页码：91 / 93

页数：3

共 10 条

[1]

*AM COLL SURG COMM, 1993, ADV TRAUMA LIF SUPP

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