Emergency Cricothyrotomy and Percutaneous Transtracheal Ventilation
##plugins.themes.bootstrap3.article.details##
Emergency cricothyrotomy is a procedure to urgently perform an aperture in the cricothyroid membrane to establish a patent airway. It’s usually the last viable resort for the management of a failed airway (can’t intubate, can’t ventilate) scenario, and therefore it’s impact on morbidity and mortality is invaluable. A review of the literature was carried out and different variants of the technique of procedure as well as subsequent ventilation were found. Bearing in mind that the complications increase proportionally with the inexperience of the provider, in the present article such techniques and knowledge are reviewed in an academic fashion in order to strengthen the provider’s emergent airway management skills.
High-frequency jet ventilation, airway management, airway obstruction, emergency treatment, ventilación con chorro de alta frecuencia, manejo de la vía aérea, obstrucción de las vías aéreas, tratamiento de urgencia,
2. Hebert RB, Bose S, Mace SE. Cricothyrotomy and transtracheal jet ventilation. En: Roberts JR, Hedges JR, editors. Procedures in emergency medicine. Philadelphia: Elsevier; 2008.
3. Hsiao J, Pacheco-Fowler V. Videos in clinical medicine. Cricothyroidotomy. N Engl J Med. 2008 May 29;358(22):e25.
4. Jorden RC, Moore EE, Marx JA, Honigman B. A comparison of PTV and endotracheal ventilation in an acute trauma model. J Trauma. 1985; 25:978.
5. Coté CJ, Eavey RD, Todres ID, Jones DE. Cricothyroid membrane puncture: oxygenation and ventilation in a dog model using an intravenous catheter. Crit Care Med. 1988;16:615.
6. Patel RG. Percutaneous transtracheal jet ventilation: A safe, quick, and temporary way to provide oxygenation and ventilation when conventional methods are unsuccessful. Chest. 1999;116:1689.
7. Mutzbauer TS, Keul W, Bernhard M, et al. Invasive techniques in emergency medicine. IV. Cricothyrotomy in emergency situations. Anaesthesist. 2005;54:145.
8. Difficult Airway Society. Failed ventilation [internet]; 2007 [citado 2012 mar 22]. Disponible en: http://www.das.uk.com/guidelines/cvci.html.
9. Kovacs G, Law JA. Rescue oxigenation. En: Airway management in emergencies. New York: McGraw Hill; 2008. p. 127-50. DOI: 10.1036/0071470050
10. Gaviria Rivera E, Giraldo Salazar OL, Arango Ramírez G, Marín Gaviria JD. Cricotiroidotomía en un paciente pediátrico. Rev Colomb Anestesiol. 2005;33(2):129-33.
11. Zambrano E, Alonso JA. Intubación endotraqueal y cricotiroidotomía. An Pediatr Contin. 2004;2(3):175-80.
12. Patel RG, Norman JR. The technique of transtracheal ventilation. J Crit Illness. 1996;11:803-8.
13. Grupo Español de Reanimación Cardiopulmonar en Pediatría y Neonatología. Manual de reanimación cardiopulmonar avanzada en pediatría y neonatología. 3a ed. Madrid: Publimed; 2002. p. 71-2.
14. González A, González C, Aguirre A, Lorenzo H. Monografías pediátricas. Urgencias Pediátricas. 1995;1:33.
15. Hooker EA, Danzl DF, O’Brien D et al. Percutaneous transtracheal ventilation: resuscitation bags do not provide adequate ventilation. Prehospital Disaster Med. 2006;21(6):431-5.
16. Kindopp AS, Nair VK. A new setup for emergency transtracheal jet ventilation. Can J Anesthes. 2001;48(7):716-7.
17. Mace SE, Khan N. Needle cricothyrotomy. Emerg Med Clin N Am. 2008;26:1085-1101.
18. Pott L. Management of the “can’t intubate, can’t ventilate” situation. Update in Anaesthesia. Special edition: Guidelines for management of emergencies in anaesthesia [internet]. 2009;25(2):15-20. Disponible en: file:///D:/Desktop/Update%20025%202%202009.pdf.
19. Manzano LJ. Cricotiroidotomía. En:Ruza F et al., editores. Tratado de cuidados intensivos pediátricos. 2a ed. Madrid: Norma; 1994. p. 441-57.
20. Jackson C. High tracheostomy and other errors, the chief causes of chronic laryngeal stenosis. Surg Gynecol Obstetr. 1921;32:392-8.
21. Brantigan CO, Grow JB. Cricothyroidotomy: Elective use in respiratory problems requiring tracheostomy. J Thorac Cardiovasc Surg. 1976;71(1):72-81.
22. McGill J, Clinton JE, Ruiz E. Cricothyroidotomy in the emergency department. Ann Emerg Med. 1982;11:361-4.
23. Markarian MK, MacIntyre A, Fildes JJ. Review of the emergency surgical airway - cricothyroidotomy. Emerg Med Crit Care Rev. 2006;(2):47-50.