N/A
N=50
Ultrasound Guided Versus Palpation Guided Cricothyrotomy With Poorly Defined Anatomical Landmarks
Airway Management
Bottom Line
View on ClinicalTrials.gov: NCT01475487 ↗Enrolled (actual)
50
Serious AEs
—
Results posted
Jun 2015
Primary outcome: Primary: The Primary Outcome Measure Was the Complication Rate Asssed as the Number of Participants Causing Injuries — 6; 18; 17; 6 Participants — p=0.001
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Utrasound guided cricothyrotomy (Procedure)
- Age
- Pediatric, Adult, Older Adult
- Sex
- All
- Sponsor
- Samuel Lunenfeld Research Institute, Mount Sinai Hospital
- Primary completion
- Sep 2011
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY The Primary Outcome Measure Was the Complication Rate Asssed as the Number of Participants Causing Injuries |
6; 18; 17; 6; 0; 10 | 0.001 sig |
| SECONDARY Insertion Time |
110.48; 196.13 | <0.01 sig |
| SECONDARY Number of Attempts |
20; 19; 3; 5 | 0.701 |
| SECONDARY Correct Landmarking |
9; 15; 14; 9; 1; 7 | 0.043 sig |
Summary
Inability to provide oxygen to the patient remains the most fearful anesthesia-related mishap. Cricothyrotomy (CT) is an infrequently performed but life saving procedure for an anesthesiologist, who is encountered with this situation. The current method of cricothyrotomy relies on digital palpation (DP). Several patient populations, including morbidly obese, short neck, radiation to and previous neck surgeries, have difficult landmarks for this procedure. Ultrasound (US) technology has been used in the past to visualize landmarks for cricothyrotomy, but there is no study which has examined the role of ultrasound in patients who have obscure landmarks. There is no data related to the performance of ultrasound guided cricothyrotomy in these patients. In this study, we aimed to determine the outcomes of CT performed on human cadavers using US-guidance, compared to conventional DP, of anatomical landmarks. In particularly, complication rates, failure to cannulate, correct placement of the device and insertion time of CT were assessed.
Eligibility Criteria
Inclusion Criteria
- Residents who are novice to the application of ultrasound in difficult airway scenarios
- Cadavers with difficult and imposible landmarks identification
Exclusion Criteria
- Anethesiologist with previous experience in CT, manual or ultrasound assisted
- Patients with easily identifiable landmarks
Data sourced from ClinicalTrials.gov (NCT01475487). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.