Impaired Ventilation and Oxygenation After Emergency Cricothyrotomy: Recommendations for the Management of Suboptimal Invasive Airway Access.

Impaired Ventilation and Oxygenation After Emergency Cricothyrotomy: Recommendations for the Management of Suboptimal Invasive Airway Access.

A A Case Rep. 2016 Sep 7;

Authors: Warner MA, Smith HM, Zielinski MD

Abstract
Invasive airway access by emergent cricothyrotomy remains an essential treatment modality in "can't intubate/can't ventilate" scenarios. Although numerous commercial devices are available, limited comparative data exist with regard to the ventilation and oxygenation parameters of these devices. We report a case of severely compromised respiratory function while using the Quicktrach II, a commercially available emergency cricothyrotomy device. Because of oxygenation and ventilatory insufficiency, our patient required emergent removal of the device and surgical tracheostomy to improve respiratory function. When confronted with a difficult airway, anesthesiologists and surgeons should be aware of commonly encountered cricothyrotomy devices and their potential limitations.

PMID: 27607408 [PubMed - as supplied by publisher]

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