Rescuing the obese or burned airway: are conventional training manikins adequate? A simulation study

British Journal of Anaesthesia

Volumn 114, Issue 1, 2015, Pages 136-142

  Howes, T E ^a   Lobo, C A ^a   Kelly, F E ^a   Cook, T M ^a  

^a ROYAL UNITED HOSPITAL   (United Kingdom)

Author keywords

airway management; obesity; tracheostomy; training

Indexed keywords

ANESTHESIOLOGY; ANIMAL; AUDIOVISUAL EQUIPMENT; CLINICAL COMPETENCE; COMPLICATION; EDUCATION; ENDOTRACHEAL INTUBATION; EQUIPMENT DESIGN; HUMAN; LUNG BURN; MEAT; MORBID OBESITY; PIG; PROCEDURES; PROSPECTIVE STUDY; RESPIRATION CONTROL; STATISTICS AND NUMERICAL DATA; TRACHEAL STENOSIS; TRACHEOSTOMY;

AIRWAY MANAGEMENT; ANESTHESIOLOGY; ANIMALS; BURNS, INHALATION; CLINICAL COMPETENCE; EQUIPMENT DESIGN; HUMANS; INTUBATION, INTRATRACHEAL; MANIKINS; MEAT; OBESITY, MORBID; PROSPECTIVE STUDIES; SWINE; TRACHEAL STENOSIS; TRACHEOSTOMY;

EID: 84925556303     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aeu336     Document Type: Article

References (19)

1. Patil, A, Pearce, A, Pracey, P, Head and neck pathology. Cook, TM, Woodall, N, Frerk, C, (eds.) Fourth National Audit Project of the Royal College of Anaesthetists and Difficult Airway Society. Major Complications of Airway Management in the United Kingdom. Report and Findings, 2011, Royal College of Anaesthetists, London Available from http://www.rcoa.ac.uk/system/files/CSQ-NAP4-Full.pdf (accessed 14 April 2014).
2. Frerk, C, Cook, TM, Management of the ‘can't intubate can't ventilate' situation and the emergency surgical airway. Cook, TM, Woodall, N, Frerk, C, (eds.) Fourth National Audit Project of the Royal College of Anaesthetists and Difficult Airway Society. Major Complications of Airway Management in the United Kingdom. Report and Findings, 2011, Royal College of Anaesthetists, London Available from http://www.rcoa.ac.uk/system/files/CSQ-NAP4-Full.pdf (accessed 14 April 2014).
3. Woodall, N, Rangasami, J, Obesity. Fourth National Audit Project of the Royal College of Anaesthetists and Difficult Airway Society. Cook, TM, Woodall, N, Frerk, C, (eds.) Major Complications of Airway Management in the United Kingdom. Report and Findings, 2011, Royal College of Anaesthetists, London Available from http://www.rcoa.ac.uk/system/files/CSQ-NAP4-Full.pdf (accessed 14 April 2014).
4. Schlossmacher, P, Martinet, O, Testud, R, Agesilas, F, Benhamou, L, Gauzëre, BA, Emergency percutaneous tracheostomy in a severely burned patient with upper airway obstruction and circulatory arrest. Resuscitation 68 (2006), 301–305.
5. Friedman, Z, You-Ten, KE, Bould, MD, Naik, V, Teaching lifesaving procedures: the impact of model fidelity on acquisition and transfer of cricothyrotomy skills to performance on cadavers. Anesth Analg 107 (2008), 1663–1669.
6. Eisenburger, P, Laczika, K, List, M, et al. Comparison of conventional surgical versus Seldinger technique emergency cricothyrotomy performed by inexperienced clinicians. Anesthesiology 92 (2000), 687–690.
7. Cook, TM, Woodall, N, Frerk, C, Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1 Anaesthesia. Br J Anaesth 106 (2011), 617–631.
8. Vadodaria, BS, Gandhi, SD, McIndoe, AK, Comparison of four different emergency airway access equipment sets on a human patient simulator. Anaesthesia 59 (2004), 73–79.
9. Sulaiman, L, Tighe, SQM, Nelson, RA, Surgical vs wire-guided cricothyroidotomy: a randomised crossover study of cuffed and uncuffed tracheal tube insertion. Anaesthesia 61 (2006), 565–570.
10. Wong, DT, Prabhu, AJ, Coloma, M, Imasogie, N, Chung, FF, What is the minimum training required for successful cricothyroidotomy? A study in mannequins. Anesthesiology 98 (2003), 349–353.
11. Assman, NM, Wong, DT, Morales, E, A comparison of a new indicator-guided with a conventional wire-guided percutaneous cricothyroidotomy device in mannequins. Anesth Analg 105 (2007), 148–154.
12. Schaumann, N, Lorenz, V, Schellongowski, P, et al. Evaluation of Seldinger technique emergency cricothyroidotomy versus standard surgical cricothyroidotomy in 200 cadavers. Anesthesiology 102 (2005), 7–11.
13. Benkhadra, M, Lenfant, F, Nemetz, W, Anderhuber, F, Feigl, G, Fasel, J, A comparison of two emergency cricothyroidotomy kits in human cadavers. Anesth Analg 106 (2008), 182–185.
14. Murphy, C, Rooney, SJ, Maharaj, CH, Laffey, JG, Harte, BH, Comparison of three cuffed emergency percutaneous cricothyroidotomy devices to conventional surgical cricothyroidotomy in a porcine model. Br J Anaesth 106 (2011), 57–64.
15. Fikkers, BG, van Vugt, S, van der Hoeven, JG, van den Hoogen, FJ, Marres, HA, Emergency cricothyrotomy: a randomised crossover trial comparing the wire-guided and catheter-over-needle techniques. Anaesthesia 59 (2004), 1008–1011.
16. Greif, R, Egger, L, Basciani, RM, Lockey, A, Vogt, A, Emergency skill training—a randomized controlled study on the effectiveness of the 4-stage approach compared to traditional clinical teaching. Resuscitation 81 (2010), 1692–1697.
17. Erzi, T, Gewürtz, G, Sessler, DI, et al. Prediction of difficult laryngoscopy in obese patients by ultrasound quantification of anterior neck soft tissue. Anaesthesia 58 (2003), 1101–1108.
18. Dimitriadis, JC, Paoloni, R, Emergency cricothyroidotomy: a randomised crossover study of four methods. Anaesthesia 63 (2008), 1204–1208.
19. Heard, AM, Green, RJ, Eakins, P, The formulation and introduction of a ‘can't intubate, can't ventilate' algorithm into clinical practice. Anaesthesia 64 (2009), 601–608.