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[Cricothyreotomy using the Quicktrach coniotomy instrument set].

F J Frei1, P Y Meier, F J Lang

  • 1Departement für Anästhesie, Universität Basel, Kantonsspital, Schweiz.

Anasthesie, Intensivtherapie, Notfallmedizin
|January 1, 1990
PubMed
Summary
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The Quicktrach device offers a potentially lifesaving percutaneous cricothyroidotomy for airway obstruction. While effective, pre-puncture incision speeds placement and larynx damage rates are deemed acceptable given the procedure's critical nature.

Area of Science:

  • Emergency Medicine
  • Surgical Devices
  • Airway Management

Context:

  • Airway obstruction unresponsive to endotracheal intubation necessitates emergency procedures.
  • Percutaneous cricothyroidotomy is a critical intervention for immediate airway access.
  • Evaluating novel devices is crucial for improving emergency airway management.

Purpose:

  • To assess the efficacy and safety of the "Quicktrach" device for percutaneous cricothyroidotomy.
  • To evaluate the device's anatomical suitability, ventilation capabilities, and ease of use.
  • To determine the impact of a pre-puncture incision on cannulation time.

Summary:

  • The Quicktrach device was evaluated in 55 anatomical preparations, demonstrating adequate sizing to minimize laryngeal posterior wall perforation risk.

Related Experiment Videos

  • Low cannula resistance ensures sufficient ventilation, with significantly faster tracheal cannulation when a pre-puncture incision is made (35 +/- 41 seconds vs. 83 +/- 88 seconds).
  • The device is user-friendly, even for inexperienced personnel, though laryngeal injury rates (18% cartilage, 9% soft tissue) require consideration against its life-saving potential.

    • Impact:

    • The Quicktrach device presents a viable option for emergency airway management, potentially reducing procedure time and improving patient outcomes.
    • Findings suggest that optimizing technique, such as incorporating an incision, can enhance the device's efficiency.
    • Further refinement of the device may mitigate associated risks, making it a more robust tool in critical care settings.