Related Experiment Video
Updated: Sep 21, 2025
04:43
Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
Published on: March 15, 2024
771
Parkland's 12-Minute Tracheotomy: Is It Reproducible?
Jaime Castro-Núñez1, Paola Cruz-Ramos2, Valerie Cabrera2
1Oral and Maxillofacial Surgery Resident, Oral and Maxillofacial Surgery Residency Program, University of Puerto Rico Medical Sciences Campus, San Juan, PR; Research Department, Institución Universitaria Colegios de Colombia, Bogota, Colombia.
Summary
The Parkland checklist streamlines tracheotomy procedures, reducing surgical time for residents. This quality improvement initiative demonstrated its reliability and efficiency in a teaching environment.
Area of Science:
- Surgical Education
- Quality Improvement in Medicine
- Airway Management
Background:
- Tracheotomy is a critical surgical procedure requiring surgeon proficiency.
- Standardized checklists can improve surgical efficiency and patient safety.
Purpose of the Study:
- To evaluate the modified Parkland 12-minute checklist for tracheotomy.
- To assess the time efficiency of tracheotomy performance by surgical residents.
Main Methods:
- A quality improvement initiative was implemented using a modified Parkland checklist.
- Time to tracheotomy completion was measured from incision to capnography wave.
- Sixteen residents performed tracheotomies on patients (11 male, 5 female; mean age 60.87).
Main Results:
- The average tracheotomy time was 11.50 minutes.
- Bleeding and thyroid gland encountered mid-procedure were factors prolonging time.
- The Parkland checklist was found to be reliable and efficient.
Conclusions:
- The modified Parkland checklist is a safe and effective guide for resident tracheotomy.
- Checklist utilization can enhance efficiency in surgical training settings.
- Further studies could explore broader implementation and long-term outcomes.
