An interesting proposal to teach cricothyrotomy to pediatricians. I have
a question for all teaching attendings: How many of you teach pediatric
residents cutdown techniques for vascular assess? This in my experience
is more often an issue in arrest situations than securing the airway.
Even though intraosseous access maybe an option in some cases, it would
be reassuring to have another option.
On Wed, 16 Oct 1996, costell wrote:
> i am aware of ten cases of crocothyrotomy done in the emergency department
> in patients from 2 years of age to 10 years of age.
> vertical incision was made in all cases to expose the thyroid and
> cartilage.incisions were made in the cruco thyroid membrane and endotraccial
> tubes were inserted and the patients ventilated.causes of repiratory arrest
> and/or cardiac arrest in these cases included trauma,epiglotitis and foreign
> body.4 children survived who had cardiac activity on arrival.the other 6
> patients had surgical airways established quickly but cardiac activity could
> not be restored. i would support formal training for all
> emergency physicians and pediatricians in the skill of pediatric
> cricothyrotomy.having this skill would allow for early and effective
> surgical airway management for children with upper airway obstruction who do
> not respond to standard basic life and advanced basic life support
> procedures.does anyone have any cases and/or opinions on providing the skill
> of cricothyrotomy to emergency or pediatric physicians who care for those
> under 10 years of age.
> dr.wayne longmore
> michael costello
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