Data_Sheet_1_Cricothyrotomy Is Faster Than Tracheostomy for Emergency Front-of-Neck Airway Access in Dogs.PDF
Objectives: In novice final year veterinary students, we sought to: (1) compare the procedure time between a novel cricothyrotomy (CTT) technique and an abbreviated tracheostomy (TT) technique in canine cadavers, (2) assess the success rate of each procedure, (3) assess the complication rate of each procedure via a damage score, (4) evaluate the technical difficulty of each procedure and (5) determine the preferred procedure of study participants for emergency front-of-neck access.
Materials and Methods: A prospective, cross-over, block randomised trial was performed, where veterinary students completed CTT and TT procedures on cadaver dogs. Eight students were recruited and performed 32 procedures on 16 dogs. A generalised estimating equation approach to modelling the procedure times was used.
Results: The procedure time was significantly faster for the CTT than the TT technique, on average (p < 0.001). The mean time taken to complete the CTT technique was 49.6 s (95% CI: 29.5–69.6) faster on average, with a mean CTT time of less than half that of the TT. When taking into account the attempt number, the procedure time for a CTT was 66.4 s (95% CI: 38.9–93.9) faster than TT for the first attempt, and for the second attempt, this was 32.7 s (95% CI: 15.2–50.2) faster, on average. The success rate for both procedures was 100% and there was no difference detected in the damage or difficulty scores (P = 0.13 and 0.08, respectively). Seven of eight participants preferred the CTT.
Clinical Significance: CTT warrants consideration as the primary option for emergency front-of-neck airway access for dogs.
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References
- https://doi.org//10.1093/bja/aev371
- https://doi.org//10.1111/j.1748-5827.2011.01167.x
- https://doi.org//10.1111/jsap.12928
- https://doi.org//10.1186/s12917-015-0574-7
- https://doi.org//10.1016/j.jfms.2007.06.002
- https://doi.org//10.1093/bja/aer058
- https://doi.org//10.1097/00003246-198806000-00011
- https://doi.org//10.1097/ALN.0000000000001196
- https://doi.org//10.1016/S0196-0644(05)81656-7
- https://doi.org//10.1111/j.1553-2712.1996.tb03355.x
- https://doi.org//10.2147/VMRR.S216551
- https://doi.org//10.1111/vec.12869
- https://doi.org//10.1111/anae.14218
- https://doi.org//10.1016/j.redar.2018.09.003
- https://doi.org//10.1111/j.1553-2712.2010.00753.x
- https://doi.org//10.1111/anae.12253
- https://doi.org//10.1016/j.annemergmed.2015.07.134
- https://doi.org//10.4097/kja.d.18.00025
- https://doi.org//10.1186/s12873-019-0230-9
- https://doi.org//10.1093/bja/aeu227
- https://doi.org//10.1111/j.1742-6723.2011.01510.x
- https://doi.org//10.1177/000348940111001213
- https://doi.org//10.1016/S1072-7515(02)01337-6
- https://doi.org//10.1097/00003246-198702000-00016
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