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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

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Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
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Published on: October 24, 2025

Training for cricothyroidotomy.

K Shetty1, V Nayyar, E Stachowski

  • 1Intensive Care Unit, Westmead Hospital, Westmead, New South Wales, Australia.

Anaesthesia and Intensive Care
|August 28, 2013
PubMed
Summary
This summary is machine-generated.

Trainees improved cricothyroidotomy skills with practice. Five manikin attempts are recommended for clinicians to achieve proficiency in this life-saving intensive care unit procedure.

Keywords:
cricothyroidotomydifficult airwayintensive care unittraining

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Area of Science:

  • Emergency Medicine
  • Surgical Skills Training

Background:

  • Cricothyroidotomy is an infrequently performed but potentially life-saving procedure in intensive care units.
  • Developing proficiency in cricothyroidotomy is crucial for emergency medical personnel.

Purpose of the Study:

  • To determine the number of attempts trainees need for successful cricothyroidotomy (lung inflation <60 seconds).
  • To assess the impact of training on the time required to complete the procedure.

Main Methods:

  • 30 participants viewed a video and performed five consecutive cricothyroidotomies on a manikin using a Melker kit.
  • Time from skin palpation to lung inflation was recorded for each attempt.

Main Results:

  • Time to completion significantly decreased with consecutive attempts (P <0.001).
  • Variability in completion times also decreased between participants (P=0.04).
  • All participants achieved success by the fifth attempt, with significant improvement even between attempts four and five.

Conclusions:

  • Consecutive manikin attempts improve cricothyroidotomy completion time and success rates.
  • A minimum of five training attempts on a manikin is recommended for clinicians to gain proficiency.