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A clinical evaluation of cricothyroidotomy
Surgery, Gynecology & Obstetrics
|September 1, 1979
Summary
Cricothyroidotomy is a quick and simple procedure for emergency airway access. However, it may cause severe laryngeal stenosis in patients with prolonged endotracheal intubation.
Area of Science:
- Otolaryngology
- Emergency Medicine
- Surgical Procedures
Background:
- Cricothyroidotomy is an established emergency airway management technique.
- Potential complications, including laryngeal stenosis, require careful consideration.
Purpose of the Study:
- To evaluate the safety and efficacy of cricothyroidotomy.
- To identify risk factors for complications, specifically laryngeal stenosis.
Main Methods:
- Retrospective review of 147 cricothyroidotomies performed between March 1976 and February 1978.
- Analysis of patient records to assess procedural outcomes and complications.
Main Results:
- Cricothyroidotomy was found to be rapid, simple, and precise.
- An overall complication rate of 8.6% was observed.
- Two patients developed severe laryngeal stenosis, linked to prolonged endotracheal intubation and the cricothyroidotomy procedure itself.
Conclusions:
- Cricothyroidotomy is a valuable emergency airway procedure, especially for patients with median sternotomy incisions.
- Contraindicated in patients with endotracheal intubation exceeding seven days or those developing airway obstruction post-extubation, except as a temporary measure.
- The study highlights the potential for laryngeal stenosis resulting from combined endotracheal intubation and cricothyroidotomy.