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Related Experiment Videos

Emergency pediatric tracheostomy: a usable technique and model for instruction.

J McLaughlin, K V Iserson

    Annals of Emergency Medicine
    |April 1, 1986
    PubMed
    Summary

    A new technique for emergency pediatric tracheostomy uses a finder needle and saline syringe to locate the trachea in small subjects. This feline model allows emergency physicians to practice rapid tracheostomies on pediatric-sized airways.

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    Area of Science:

    • Emergency Medicine
    • Pediatric Airway Management
    • Surgical Simulation

    Background:

    • Emergency pediatric tracheostomy is rarely performed but critical when cricothyrotomy is not feasible.
    • Indications include small cricothyroid space, high-grade airway obstruction, or obscured landmarks due to swelling or fractures.
    • A reliable training model is needed for emergency physicians to practice this procedure on pediatric-sized airways.

    Purpose of the Study:

    • To develop and evaluate a novel technique for emergency pediatric tracheostomy.
    • To establish a practical animal model for practicing this procedure on pediatric-sized tracheas.

    Main Methods:

    • A new technique utilizing a finder needle and saline-filled syringe to locate the trachea in small subjects.
    • A feline model was employed, with kittens (1000-1500g) approximating infants and larger cats (2000-3000g) approximating older children.

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  • The technique involves needle insertion, saline aspiration to confirm tracheal entry, a stabbing incision, stoma dilation, and endotracheal tube insertion.

    • Main Results:

    • The finder needle and saline syringe technique successfully identified the trachea in the feline model.
    • The feline model provided anatomically relevant tracheal sizes for pediatric patients.
    • The procedure was demonstrated to be feasible for practicing rapid tracheostomies on small subjects.

    Conclusions:

    • A novel technique and feline model for emergency pediatric tracheostomy training have been developed.
    • This model allows emergency physicians to gain proficiency in performing tracheostomies on pediatric-sized airways.
    • Further studies are needed to evaluate this technique in human pediatric patients.