A Randomized Comparison of Bougie-Assisted and TracheoQuick Plus Cricothyrotomies on a Live Porcine Model

0486694 - ÚŽFG 2018 RIV US eng J - Journal Article
Henlín, T. - Michálek, P. - Tyll, T. - Ryska, Ondřej
A Randomized Comparison of Bougie-Assisted and TracheoQuick Plus Cricothyrotomies on a Live Porcine Model.
BioMed Research International. Roč. 2017, č. 1 (2017), č. článku 4215159. ISSN 2314-6133. E-ISSN 2314-6141
R&D Projects: GA MŠMT ED2.1.00/03.0124; GA MZd(CZ) NT13634
Institutional support: RVO:67985904
Keywords : crycothyrotomy
OECD category: Gastroenterology and hepatology
Impact factor: 2.583, year: 2017

Objectives. Cricothyrotomy is a rescue procedure in ´cannot intubate, cannot oxygenate scenarios´where other methods of nonsurgical airway management have failed. We compared 2 cuffed cricothyrotomy sets, bougie-assisted cricothyrotomy (BACT) and novel percutaneous TracheoQuick Plus, on a live porcine model in a simulated periarrest situation. Methods. Thirty-four anesthetized minipigs were randomly allocated into two groups: BACT technique (n = 17) and TracheoQuick Plus (n = 17). The primary outcome was duration of cricothyrotomy while secondary outcomes were total success rate, number of attempts, location of incision, changes in heart rate, oxygen saturation, and the incidence of complications. Results. BACT was significantly faster than TracheoQuick Plus cricothyrotomy, with a median time of 69 sec (IQR 56-85) versus 178 sec (IQR 152-272). The total success rate was without difference. 94% of BACT was performed successfully on the first attempt, while in the TracheoQuick Plus group, it was only 18%(n < 0.001). Trauma to the posterior tracheal wall was observed once in the BACT group and 5 times in the TracheoQuick Plus group. Oxygen saturation was significantly higher in the BACT group both during and after the procedure. Conclusions. BACT is superior to TracheoQuick Plus cricothyrotomy on a live animal model.
Permanent Link: http://hdl.handle.net/11104/0281442