Emergency front-of-neck access: Scalpel or cannula-and the parable of Buridan's ass †

British Journal of Anaesthesia

Volumn 118, Issue 6, 2017, Pages 811-814

  Greenland, K B ^a,b   Bradley, W P L ^c,d   Chapman, G A ^e,f   Goulding, G ^g   Irwin, M G ^a  

^a UNIVERSITY OF HONG KONG   (Hong Kong)

^b UNIVERSITY OF QUEENSLAND   (Australia)

^c Alfred ^*  (Australia)

^d MONASH UNIVERSITY   (Australia)

^e ROYAL PERTH HOSPITAL   (Australia)

^f UNIVERSITY OF WESTERN AUSTRALIA   (Australia)

^g ROYAL BRISBANE AND WOMEN'S HOSPITAL   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

CANNULA; EDITORIAL; EMERGENCY SURGERY; FRONT OF NECK ACCESS; HIGH FREQUENCY JET VENTILATION; HUMAN; INTERMETHOD COMPARISON; NECK; OXYGEN THERAPY; PRIORITY JOURNAL; RESPIRATION CONTROL; SCALPEL; SKIN INCISION; TRACHEOTOMY; ANESTHESIST; HEART ARREST; HEART DEATH; MEDICAL EXPERT; OPEN SURGERY; RESCUE PERSONNEL; CRICOID CARTILAGE; PROCEDURES; SURGERY; SURGICAL EQUIPMENT; TRACHEOSTOMY;

AIRWAY MANAGEMENT; CRICOID CARTILAGE; HUMANS; NECK; SURGICAL INSTRUMENTS; TRACHEOSTOMY;

EID: 85026739738     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aex101     Document Type: Editorial

References (33)

1. Baker PA, O'sullivan EP, Kristensen MS, Lockey D. The great airway debate: is the scalpel mightier than the cannula? Br J Anaesth 2016; 117: i17-9
2. Pracy JP, Brennan L, Cook TM, et al. Surgical intervention during a can't intubate can't oxygenate (CICO) Event: emergency front-of-neck airway (FONA)? Br J Anaesth 2016; 117: 426-8
3. Heard AMB, Green RJ, Eakins P. The formulation and introduction of the "can't intubate, can't ventilate" algorithm into clinical practice. Anaesthesia 2009; 64: 601-8
4. Duggan LV, Ballantyne Scott B, Law JA, Morris IR, Murphy MF, Griesdale DE. Transtracheal jet ventilation in the 'can't intubate can't oxygenate' emergency: a systematic review. Br J Anaesth 2016; 117: i28-38
5. Kristensen MS, Teoh WH, Baker PA. Percutaneous emergency airway access; prevention, preparation, technique and training. Br J Anaesth 2015; 114: 357-61
6. Scrase I, Woollard M. Needle vs surgical cricothyroidotomy: a short cut to effective ventilation. Anaesthesia 2006; 61: 962-74
7. Law JA, Broemling N, Cooper RM, et al. The difficult airway with recommendations for management-part 1-difficult tra-cheal intubation encountered in an unconscious/induced patient. Can J Anaesth 2013; 60: 1089-118
8. Elliott DS, Baker PA, Scott MR, Birch CW, Thompson JM. Accuracy of surface landmark identification for cannula cri-cothyroidotomy. Anaesthesia 2010; 65: 889-94
9. 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 Anaesth 2015; 62: 495-503
10. 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
11. Hiller KN, Karni RJ, Cai C, Holcomb JB, Hagberg CA. Comparing success rates of anesthesia providers versus trauma surgeons in their use of palpation to identify the cri-cothyroid membrane in female subjects: a prospective ob-servational study. Can J Anaesth 2016; 63: 807-17
12. Kristensen MS, Teoh WH, Graumann O, Laursen CB. Ultrasonography for clinical decision-making and intervention in airway management: from the mouth to the lungs and pleurae. Insights Imaging 2014; 5: 253-79
13. Law JA. Deficiencies in locating the cricothyroid membrane by palpation: we can't and the surgeons can't, so what now for the emergency surgical airway? Can J Anaesth 2016; 63: 791-6
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. Sahdev P. Comparison of manikin models vs live sheep in 'can't intubate can't ventilate' training. Anaesthesia 2010; 65: 759
16. Heard A. Instructor Check-lists for Percutaneous Emergency Oxygenation Strategies in the "Can't Intubate, Can't Oxygenate" Scenario. 2014 Available from https://www.smash words.com/books/view/494739 (accessed 19 March 2017)
17. Wong CF, Yuen VM, Wong GT, To J, Irwin MG. Time to adequate oxygenation following ventilation using the Enk oxygen flow modulator versus a jet ventilator via needle cri-cothyrotomy in rabbits. Paediatr Anaesth 2014; 24: 208-13
18. Frerk C, Mitchell VS, McNarry AF, et al. Reply. Br J Anaesth 2016; 117: 535-6
19. ANZCA working party edited L. Watterson. "Transition for CICO". Available from http://www.anzca.edu.au/resources/professional-documents. 2015 (accessed 1 February 2017)
20. Greenland KB, Acott C, Segal R, Goulding G, Riley RH, Merry AF. Emergency surgical airway in life-threatening acute airway emergencies-why are we so reluctant to do it? Anaesth Intensive Care 2011; 39: 578-84
21. Cook TM, Woodall N, Frerk C, Fourth National Audit P. 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 2011; 106: 617-31
22. Crewdson K, Lockey DJ. Needle, knife, or device-which choice in an airway crisis? Scand J Trauma Resusc Emerg Med 2013; 21: 49
23. Mabry RL, Frankfurt A. An analysis of battlefield crico-thyrotomy in Iraq and Afghanistan. J Spec Oper Med 2012; 12: 17-23
24. Lockey D, Crewdson K, Weaver A, Davies G. Observational study of the success rates of intubation and failed intubation airway rescue techniques in 7256 attempted intubations of trauma patients by pre-hospital physicians. Br J Anaesth 2014; 113: 220-5
25. Dinsmore J. A correct representation of the evidence? 2016. Available from https://academic.oup.com/bja/article/117/suppl-1/i17/1744477/The-great-airway-debate-is-the-scalpel-mightier?searchresult1#usercomments (accessed 1 February 2017)
26. Bradley P. Continued provision of cannula cricothyroidot-omy equipment. Anaesthesia 2016; 71: 854-5
27. Riley RH, Strang T, Rao S. Survey of airway skills of surgeons in Western Australia. Anaesth Intensive Care 2009; 37: 630-3
28. Hamaekers AE, Henderson JJ. Equipment and strategies for emergency tracheal access in the adult patient. Anaesthesia 2011; 66 Suppl 2:65-80
29. Heard A, Dinsmore J, Douglas S, Lacquiere D. Plan D: cannula first, or scalpel only? Br J Anaesth 2016; 117: 533-5
30. Clinical Human Factors Group. Healthcare Safety Investigation Branch-Expert Advisory Group Report http://chfg.org/policy-re search/hsib-advisory-group-report/2017 (accessed 2 February 2017)
31. Baker PA, Hounsell GL, Futter ME, Anderson BJ. Airway management equipment in a metropolitan region: an audit. Anaesth Intensive Care 2007; 35: 563-9
32. Cook TM, Woodall N, Frerk CA. national survey of the impact of NAP4 on airway management practice in United Kingdom hospitals: closing the safety gap in anaesthesia, intensive care and the emergency department. Br J Anaesth 2016; 117: 182-90
33. Rosenstock CV, Nørskov AK, Wetterslev J, Lundstrøm LH; The Danish Anaesthesia Database. Emergency surgical air-way management in Denmark: a cohort study of 452461 patients registered in the Danish Anaesthesia Database. Br J Anaesth 2016; 117: i75-82