Acute airway management. Role of cricothyroidotomy

G. A. DeLaurier, M. L. Hawkins, R. C. Treat, A. R. Mansberger

Research output: Contribution to journalArticle

54 Citations (Scopus)

Abstract

Thirty-four cases of emergency cricothyroidotomy performed from September 1984 through January 1988 are reviewed. Thirty-one of the cases were required out of 2,200 acute-trauma patients. The indication for cricothyroidotomy was inability to establish an airway by intubation usually in a situation of possible neck injury or severe facial trauma. Fourteen of the patients died as a result of their injuries, 13 of these in the first several hours after injury. The 20 surviving patients are studied in two groups: eleven patients whose cricothyroidotomy remained in place until decannulation (group I) and nine patients who underwent tracheostomy subsequent to cricothyroidotomy (group II). Clinical follow-up included physical examination in all survivors and endoscopic evaluation in twelve patients. Three minor complications were discovered in each of the two groups and two major complications were noted in group II. The major complications included a case of tracheal stomal stenosis requiring tracheal resection and a case of partially obstructing tracheal granulation tissue requiring endoscopic resection. This study supports the use of emergency cricothyroidotomy in situations in which intubation is not successful or thought to be safe. Data is also presented that suggests that tracheostomy subsequent to emergency cricothyroidotomy does not necessarily reduce airway-related morbidity in these patients.

Original languageEnglish (US)
Pages (from-to)12-15
Number of pages4
JournalAmerican Surgeon
Volume56
Issue number1
StatePublished - Apr 11 1990

Fingerprint

Airway Management
Emergencies
Tracheostomy
Wounds and Injuries
Intubation
Neck Injuries
Tracheal Stenosis
Granulation Tissue
Physical Examination
Survivors
Morbidity

ASJC Scopus subject areas

  • Surgery

Cite this

DeLaurier, G. A., Hawkins, M. L., Treat, R. C., & Mansberger, A. R. (1990). Acute airway management. Role of cricothyroidotomy. American Surgeon, 56(1), 12-15.

Acute airway management. Role of cricothyroidotomy. / DeLaurier, G. A.; Hawkins, M. L.; Treat, R. C.; Mansberger, A. R.

In: American Surgeon, Vol. 56, No. 1, 11.04.1990, p. 12-15.

Research output: Contribution to journalArticle

DeLaurier, GA, Hawkins, ML, Treat, RC & Mansberger, AR 1990, 'Acute airway management. Role of cricothyroidotomy', American Surgeon, vol. 56, no. 1, pp. 12-15.
DeLaurier GA, Hawkins ML, Treat RC, Mansberger AR. Acute airway management. Role of cricothyroidotomy. American Surgeon. 1990 Apr 11;56(1):12-15.
DeLaurier, G. A. ; Hawkins, M. L. ; Treat, R. C. ; Mansberger, A. R. / Acute airway management. Role of cricothyroidotomy. In: American Surgeon. 1990 ; Vol. 56, No. 1. pp. 12-15.
@article{8e1e2bf0200a44aca87e93df947a8223,
title = "Acute airway management. Role of cricothyroidotomy",
abstract = "Thirty-four cases of emergency cricothyroidotomy performed from September 1984 through January 1988 are reviewed. Thirty-one of the cases were required out of 2,200 acute-trauma patients. The indication for cricothyroidotomy was inability to establish an airway by intubation usually in a situation of possible neck injury or severe facial trauma. Fourteen of the patients died as a result of their injuries, 13 of these in the first several hours after injury. The 20 surviving patients are studied in two groups: eleven patients whose cricothyroidotomy remained in place until decannulation (group I) and nine patients who underwent tracheostomy subsequent to cricothyroidotomy (group II). Clinical follow-up included physical examination in all survivors and endoscopic evaluation in twelve patients. Three minor complications were discovered in each of the two groups and two major complications were noted in group II. The major complications included a case of tracheal stomal stenosis requiring tracheal resection and a case of partially obstructing tracheal granulation tissue requiring endoscopic resection. This study supports the use of emergency cricothyroidotomy in situations in which intubation is not successful or thought to be safe. Data is also presented that suggests that tracheostomy subsequent to emergency cricothyroidotomy does not necessarily reduce airway-related morbidity in these patients.",
author = "DeLaurier, {G. A.} and Hawkins, {M. L.} and Treat, {R. C.} and Mansberger, {A. R.}",
year = "1990",
month = "4",
day = "11",
language = "English (US)",
volume = "56",
pages = "12--15",
journal = "Handbook of Behavioral Neuroscience",
issn = "0003-1348",
publisher = "JAI Press",
number = "1",

}

TY - JOUR

T1 - Acute airway management. Role of cricothyroidotomy

AU - DeLaurier, G. A.

AU - Hawkins, M. L.

AU - Treat, R. C.

AU - Mansberger, A. R.

PY - 1990/4/11

Y1 - 1990/4/11

N2 - Thirty-four cases of emergency cricothyroidotomy performed from September 1984 through January 1988 are reviewed. Thirty-one of the cases were required out of 2,200 acute-trauma patients. The indication for cricothyroidotomy was inability to establish an airway by intubation usually in a situation of possible neck injury or severe facial trauma. Fourteen of the patients died as a result of their injuries, 13 of these in the first several hours after injury. The 20 surviving patients are studied in two groups: eleven patients whose cricothyroidotomy remained in place until decannulation (group I) and nine patients who underwent tracheostomy subsequent to cricothyroidotomy (group II). Clinical follow-up included physical examination in all survivors and endoscopic evaluation in twelve patients. Three minor complications were discovered in each of the two groups and two major complications were noted in group II. The major complications included a case of tracheal stomal stenosis requiring tracheal resection and a case of partially obstructing tracheal granulation tissue requiring endoscopic resection. This study supports the use of emergency cricothyroidotomy in situations in which intubation is not successful or thought to be safe. Data is also presented that suggests that tracheostomy subsequent to emergency cricothyroidotomy does not necessarily reduce airway-related morbidity in these patients.

AB - Thirty-four cases of emergency cricothyroidotomy performed from September 1984 through January 1988 are reviewed. Thirty-one of the cases were required out of 2,200 acute-trauma patients. The indication for cricothyroidotomy was inability to establish an airway by intubation usually in a situation of possible neck injury or severe facial trauma. Fourteen of the patients died as a result of their injuries, 13 of these in the first several hours after injury. The 20 surviving patients are studied in two groups: eleven patients whose cricothyroidotomy remained in place until decannulation (group I) and nine patients who underwent tracheostomy subsequent to cricothyroidotomy (group II). Clinical follow-up included physical examination in all survivors and endoscopic evaluation in twelve patients. Three minor complications were discovered in each of the two groups and two major complications were noted in group II. The major complications included a case of tracheal stomal stenosis requiring tracheal resection and a case of partially obstructing tracheal granulation tissue requiring endoscopic resection. This study supports the use of emergency cricothyroidotomy in situations in which intubation is not successful or thought to be safe. Data is also presented that suggests that tracheostomy subsequent to emergency cricothyroidotomy does not necessarily reduce airway-related morbidity in these patients.

UR - http://www.scopus.com/inward/record.url?scp=0025327115&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025327115&partnerID=8YFLogxK

M3 - Article

C2 - 2294806

AN - SCOPUS:0025327115

VL - 56

SP - 12

EP - 15

JO - Handbook of Behavioral Neuroscience

JF - Handbook of Behavioral Neuroscience

SN - 0003-1348

IS - 1

ER -