Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

A randomised cross-over comparison of the transverse and longitudinal techniques for ultrasound-guided identification of the cricothyroid membrane in morbidly obese subjects

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. From variance to guidance for awake tracheal intubation

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Red blood cell transfusion in surgery: an observational study of the trends in the USA from 2011 to 2016

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Challenges in optimising recovery after emergency laparotomy

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  4. Variation in the practice of tracheal intubation in Europe after traumatic brain injury: a prospective cohort study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Enhanced postoperative recovery: good from afar, but far from good?

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  1. From variance to guidance for awake tracheal intubation

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Depth to the airway lumen at the level of the cricothyroid membrane measured by ultrasound

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Managing and securing the bleeding upper airway: a narrative review

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  4. A simple clinical assessment is superior to systematic triage in prediction of mortality in the emergency department

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

We compared the transverse and longitudinal approaches to ultrasound-guided identification of the cricothyroid membrane, to determine which was faster and more successful. Forty-two anaesthetists received a one-hour structured training programme consisting of e-learning, a lecture and hands-on training, and then applied both techniques in a randomised, cross-over sequence to obese females with body mass index 39.0 - 43.9 kg.m(-2) . The mean (SD) time to identify the cricothyroid membrane was 24.0 (12.4) s using the transverse technique compared with 37.6 (17.9) s for the longitudinal technique (p = 0.0003). Successful identification of the cricothyroid membrane was achieved by 38 (90%) anaesthetists using either technique. All anaesthetists were successful in identifying the cricothyroid membrane with at least one of the techniques. We advocate the learning and application of these two techniques for identification of the cricothyroid membrane before starting anaesthesia in difficult patients, especially when anatomical landmarks are impalpable. Further use in emergency situations is feasible, if clinicians have experience and the ultrasound machine is readily available.

OriginalsprogEngelsk
TidsskriftAnaesthesia (Oxford)
Vol/bind71
Udgave nummer6
Sider (fra-til)675-83
ISSN0003-2409
DOI
StatusUdgivet - 2 apr. 2016

ID: 46376568