Deficiencies in locating the cricothyroid membrane by palpation: We can’t and the surgeons can’t, so what now for the emergency surgical airway?;Incapables de localiser la membrane cricothyroïdienne par palpation: si nous n’y parvenons pas et les chirurgiens non plus, que faire alors en cas de voies aériennes chirurgicales d’urgence?

Canadian Journal of Anesthesia

Volumn 63, Issue 7, 2016, Pages 791-796

  Law, J Adam ^a  

^a QUEEN ELIZABETH II HEALTH SCIENCES CENTRE   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

AIRWAY; ANESTHESIST; BODY MASS; CRICOID CARTILAGE; CRICOTHYROID MEMBRANE; ECHOGRAPHY; EDITORIAL; EMERGENCY SURGICAL AIRWAY; HEALTH PRACTITIONER; HUMAN; LIFE SAVING PROCEDURE; NECK CIRCUMFERENCE; OXYGENATION; PALPATION; PRIORITY JOURNAL; PROCEDURES; SEX RATIO; SURGICAL ANATOMY; THYROID CARTILAGE; TRACHEA; TRACHEOTOMY; TRAUMA SURGEON; VISUAL ORIENTATION; ANATOMY AND HISTOLOGY; ANESTHESIOLOGIST; CLINICAL COMPETENCE; EMERGENCY HEALTH SERVICE; PHYSICIAN; REPRODUCIBILITY; RESPIRATION CONTROL; SURGEON;

AIRWAY MANAGEMENT; ANESTHESIOLOGISTS; CLINICAL COMPETENCE; CRICOID CARTILAGE; EMERGENCY MEDICAL SERVICES; HUMANS; PALPATION; PHYSICIANS; REPRODUCIBILITY OF RESULTS; SURGEONS;

EID: 84966430723     PISSN: 0832610X     EISSN: 14968975     Source Type: Journal    
DOI: 10.1007/s12630-016-0648-4     Document Type: Editorial

References (19)

1. Sellick BA. Cricoid pressure to control regurgitation of stomach contents during induction of anaesthesia. Lancet 1961; 2: 404-6.
2. Hiller KN, Karni RJ, Cai C, Holcombe JB, Hagberg CA. Comparing anesthesia provider and trauma surgeon success rates of using palpation for cricothyroid membrane identification in female subjects: a prospective observational study. Can J Anesth 2016; 63: this issue. DOI: 10.1007/s12630-016-0647-5.
3. Peterson GN, Domino KB, Caplan RA, Posner KL, Lee LA, Cheney FW. Management of the difficult airway: a closed claims analysis. Anesthesiology 2005; 103: 33-9.
4. Frerk C, Cook T. Management of the can’t intubate can’t ventilate’ situation and the emergency surgical airway. In: Cook T, Woodall NM, Frerk C, editors. 4th National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society - Major Complications of Airway Management in the United Kingdom. Report and findings. London: Royal College of Anaesthetists; 2011.
5. Frerk C, Mitchell VS, McNarry AF, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth 2015; 115: 827-48.
6. Law JA, Broemling N, Cooper RM, et al. The difficult airway with recommendations for management—part 1—difficult tracheal intubation encountered in an unconscious/induced patient. Can J Anesth 2013; 60: 1089-118.
7. Apfelbaum JL, Hagberg CA, Caplan RA, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2013; 118: 251-70.
8. Aslani A, Ng SC, Hurley M, McCarthy KF, McNicholas M, McCaul CL. Accuracy of identification of the cricothyroid membrane in female subjects using palpation: an observational study. Anesth Analg 2012; 114: 987-92.
9. You-Ten KE, Desai D, Postonogova T, Siddiqui N. Accuracy of conventional digital palpation and ultrasound of the cricothyroid membrane in obese women in labour. Anaesthesia 2015; 70: 1230-4.
10. Lamb A, Zhang J, Hung O, et al. Accuracy of identifying the cricothyroid membrane by anesthesia trainees and staff in a Canadian institution. Can J Anesth 2015; 62: 495-503.
11. Elliott DS, Baker PA, Scott MR, Birch CW, Thompson JM. Accuracy of surface landmark identification for cannula cricothyroidotomy. Anaesthesia 2010; 65: 889-94.
12. Bair AE, Chima R. The inaccuracy of using landmark techniques for cricothyroid membrane identification: a comparison of three techniques. Acad Emerg Med 2015; 22: 908-14.
13. Kristensen MS, Teoh WH, Rudolph SS, et al. Structured approach to ultrasound-guided identification of the cricothyroid membrane: a randomized comparison with the palpation method in the morbidly obese. Br J Anaesth 2015; 114: 1003-4.
14. Dillon JK, Christensen B, Fairbanks T, Jurkovich G, Moe KS. The emergent surgical airway: cricothyrotomy vs. tracheotomy. Int J Oral Maxillofac Surg 2013; 42: 204-8.
15. Levitan R. Available from: URL: http://www.airwaycam/cricothyrotomy/ (accessed February 2016).
16. Kristensen MS. Ultrasonography in the management of the airway. Acta Anaesthesiol Scand 2011; 55: 1155-73.
17. Law JA, Broemling N, Cooper RM, et al. The difficult airway with recommendations for management—part 2—the anticipated difficult airway. Can J Anesth 2013; 60: 1119-38.
18. Kristensen MS, Teoh WH, Baker PA. Percutaneous emergency airway access; prevention, preparation, technique and training. Br J Anaesth 2015; 114: 357-61.
19. Brindley PG, Beed M, Duggan LV, Hung O, Murphy MF. Updating our approach to the difficult and failed airways: time to “stop and think”. Can J Anesth 2016; DOI: 10.1007/s12630-016-0594-1.