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Bougie-assisted cricothyroidotomy: Delphi-derived essential steps for the novice learner
Alia Dharamsi1, Sara Gray1, Christopher Hicks1
1*Division of Emergency Medicine,Department of Medicine.
CJEM
|June 29, 2018
Summary
A new checklist standardizes bougie-assisted cricothyroidotomy (BAC) instruction for novice clinicians. This expert-developed tool aims to improve emergency airway management training and patient safety.
Area of Science:
- Emergency Medicine
- Surgical Procedures
- Medical Education
Background:
- Cricothyroidotomy is a critical, last-resort airway procedure.
- Bougie-assisted cricothyroidotomy (BAC) offers potential speed and safety benefits.
- A standardized instructional approach for BAC is currently lacking.
Purpose of the Study:
- To systematically develop a checklist for instructing novice learners in bougie-assisted cricothyroidotomy (BAC).
- To establish a consensus-based tool for standardized BAC skill acquisition.
Main Methods:
- A literature review generated a preliminary BAC checklist.
- A three-round modified Delphi method with international airway experts was employed.
- An 80% consensus threshold was set for checklist item agreement.
Main Results:
- Fourteen international airway experts participated across six specialties.
- A 17-item BAC checklist was finalized after three rounds of expert review.
- The checklist demonstrated high internal consistency (Cronbach's α = 0.855).
Conclusions:
- This Delphi-derived checklist is the first systematically developed guide for novice BAC instruction.
- The checklist provides a structured approach for deliberate practice in BAC.
- This tool promotes standardization in emergency airway management training.
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