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Updated: Nov 18, 2025
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Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
Published on: May 18, 2019
5.8K
Emergency Cricothyrotomy: A 10-Year Single Institution Experience
Annie E Moroco1, Scott B Armen2, David Goldenberg3
1Department of Otolaryngology, Head and Neck Surgery, Thomas Jefferson University, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
The American Surgeon
|February 10, 2021
Summary
Emergent cricothyrotomy, a critical airway procedure, shows a 75% survival rate. Improper anatomical placement is the most common complication, highlighting the need for skilled surgical performance in trauma care.
Area of Science:
- Emergency Medicine
- Surgical Airway Management
- Trauma Surgery
Background:
- Technological advances have decreased the frequency of emergent surgical airway placement.
- Surgeons perform emergent cricothyrotomy less often.
- Assessment of modern emergent cricothyrotomy characteristics and outcomes is needed.
Purpose of the Study:
- To assess the characteristics of patients undergoing emergent cricothyrotomy.
- To evaluate the outcomes of emergent cricothyrotomy.
- To analyze complication rates and performance by different providers.
Main Methods:
- Retrospective case series from January 2010 to January 2020 at a Level 1 trauma center.
- Inclusion criteria: patients undergoing tracheostomy or listed in the trauma registry.
- Data collected: demographics, operative details, hospital course, and cricothyrotomy placement.
Main Results:
- 12 patients met inclusion criteria from 1642 identified.
- The population was predominantly male (91.7%), average age 43, average BMI 30.
- Survival rate was 75%; 58% had appropriate anatomical placement, with 75% of those performed by Trauma Surgery.
Conclusions:
- Cricothyrotomy is vital for emergent airway access.
- Improper anatomical placement is the most frequent complication (nearly 50%).
- Trauma surgeons perform 75% of procedures with a 66.7% anatomical accuracy rate.
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