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Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie 7/2016

05.05.2016 | Editorials

Deficiencies in locating the cricothyroid membrane by palpation: We can’t and the surgeons can’t, so what now for the emergency surgical airway?

verfasst von: J. Adam Law, MD

Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Ausgabe 7/2016

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Excerpt

At times, it seems that we were never meant to discover the underlying mysteries of the neck’s surface anatomy. The quest first began with the cricoid cartilage and although Sellick’s maneuver1 seemed an acceptable concept, it eventually proved somewhat disappointing in its application. Who knows how often this technique actually hit its target? Now, as Hiller et al. outline in this issue of the Journal, just north of the cricoid cartilage and sorely needed for expeditious emergency surgical airway (ESA), it seems that the cricothyroid membrane (CTM) is also keeping its exact location a closely guarded secret.2
Literatur
1.
Zurück zum Zitat Sellick BA. Cricoid pressure to control regurgitation of stomach contents during induction of anaesthesia. Lancet 1961; 2: 404-6.CrossRefPubMed Sellick BA. Cricoid pressure to control regurgitation of stomach contents during induction of anaesthesia. Lancet 1961; 2: 404-6.CrossRefPubMed
2.
Zurück zum Zitat Hiller KN, Karni RJ, Cai C, Holcombe JB, Hagberg CA. Comparing anesthesia provider and trauma surgeon success rates of using palpation for cricothyroid membrane identification in female subjects: a prospective observational study. Can J Anesth 2016; 63: this issue. DOI: 10.1007/s12630-016-0647-5. Hiller KN, Karni RJ, Cai C, Holcombe JB, Hagberg CA. Comparing anesthesia provider and trauma surgeon success rates of using palpation for cricothyroid membrane identification in female subjects: a prospective observational study. Can J Anesth 2016; 63: this issue. DOI: 10.​1007/​s12630-016-0647-5.
3.
Zurück zum Zitat Peterson GN, Domino KB, Caplan RA, Posner KL, Lee LA, Cheney FW. Management of the difficult airway: a closed claims analysis. Anesthesiology 2005; 103: 33-9.CrossRefPubMed Peterson GN, Domino KB, Caplan RA, Posner KL, Lee LA, Cheney FW. Management of the difficult airway: a closed claims analysis. Anesthesiology 2005; 103: 33-9.CrossRefPubMed
4.
Zurück zum Zitat Frerk C, Cook T. Management of the can’t intubate can’t ventilate’ situation and the emergency surgical airway. In: Cook T, Woodall NM, Frerk C, editors. 4th National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society - Major Complications of Airway Management in the United Kingdom. Report and findings. London: Royal College of Anaesthetists; 2011 . Frerk C, Cook T. Management of the can’t intubate can’t ventilate’ situation and the emergency surgical airway. In: Cook T, Woodall NM, Frerk C, editors. 4th National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society - Major Complications of Airway Management in the United Kingdom. Report and findings. London: Royal College of Anaesthetists; 2011 .
5.
Zurück zum Zitat Frerk C, Mitchell VS, McNarry AF, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth 2015; 115: 827-48.CrossRefPubMedPubMedCentral Frerk C, Mitchell VS, McNarry AF, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth 2015; 115: 827-48.CrossRefPubMedPubMedCentral
6.
Zurück zum Zitat Law JA, Broemling N, Cooper RM, et al. The difficult airway with recommendations for management—part 1—difficult tracheal intubation encountered in an unconscious/induced patient. Can J Anesth 2013; 60: 1089-118.CrossRefPubMedPubMedCentral Law JA, Broemling N, Cooper RM, et al. The difficult airway with recommendations for management—part 1—difficult tracheal intubation encountered in an unconscious/induced patient. Can J Anesth 2013; 60: 1089-118.CrossRefPubMedPubMedCentral
7.
Zurück zum Zitat Apfelbaum JL, Hagberg CA, Caplan RA, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2013; 118: 251-70.CrossRefPubMed Apfelbaum JL, Hagberg CA, Caplan RA, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2013; 118: 251-70.CrossRefPubMed
8.
Zurück zum Zitat Aslani A, Ng SC, Hurley M, McCarthy KF, McNicholas M, McCaul CL. Accuracy of identification of the cricothyroid membrane in female subjects using palpation: an observational study. Anesth Analg 2012; 114: 987-92.CrossRefPubMed Aslani A, Ng SC, Hurley M, McCarthy KF, McNicholas M, McCaul CL. Accuracy of identification of the cricothyroid membrane in female subjects using palpation: an observational study. Anesth Analg 2012; 114: 987-92.CrossRefPubMed
9.
Zurück zum Zitat You-Ten KE, Desai D, Postonogova T, Siddiqui N. Accuracy of conventional digital palpation and ultrasound of the cricothyroid membrane in obese women in labour. Anaesthesia 2015; 70: 1230-4.PubMed You-Ten KE, Desai D, Postonogova T, Siddiqui N. Accuracy of conventional digital palpation and ultrasound of the cricothyroid membrane in obese women in labour. Anaesthesia 2015; 70: 1230-4.PubMed
10.
Zurück zum Zitat Lamb A, Zhang J, Hung O, et al. Accuracy of identifying the cricothyroid membrane by anesthesia trainees and staff in a Canadian institution. Can J Anesth 2015; 62: 495-503.CrossRefPubMed Lamb A, Zhang J, Hung O, et al. Accuracy of identifying the cricothyroid membrane by anesthesia trainees and staff in a Canadian institution. Can J Anesth 2015; 62: 495-503.CrossRefPubMed
11.
Zurück zum Zitat Elliott DS, Baker PA, Scott MR, Birch CW, Thompson JM. Accuracy of surface landmark identification for cannula cricothyroidotomy. Anaesthesia 2010; 65: 889-94.CrossRefPubMed Elliott DS, Baker PA, Scott MR, Birch CW, Thompson JM. Accuracy of surface landmark identification for cannula cricothyroidotomy. Anaesthesia 2010; 65: 889-94.CrossRefPubMed
12.
Zurück zum Zitat Bair AE, Chima R. The inaccuracy of using landmark techniques for cricothyroid membrane identification: a comparison of three techniques. Acad Emerg Med 2015; 22: 908-14.CrossRefPubMed Bair AE, Chima R. The inaccuracy of using landmark techniques for cricothyroid membrane identification: a comparison of three techniques. Acad Emerg Med 2015; 22: 908-14.CrossRefPubMed
13.
Zurück zum Zitat Kristensen MS, Teoh WH, Rudolph SS, et al. Structured approach to ultrasound-guided identification of the cricothyroid membrane: a randomized comparison with the palpation method in the morbidly obese. Br J Anaesth 2015; 114: 1003-4.CrossRefPubMed Kristensen MS, Teoh WH, Rudolph SS, et al. Structured approach to ultrasound-guided identification of the cricothyroid membrane: a randomized comparison with the palpation method in the morbidly obese. Br J Anaesth 2015; 114: 1003-4.CrossRefPubMed
14.
Zurück zum Zitat Dillon JK, Christensen B, Fairbanks T, Jurkovich G, Moe KS. The emergent surgical airway: cricothyrotomy vs. tracheotomy. Int J Oral Maxillofac Surg 2013; 42: 204-8.CrossRefPubMed Dillon JK, Christensen B, Fairbanks T, Jurkovich G, Moe KS. The emergent surgical airway: cricothyrotomy vs. tracheotomy. Int J Oral Maxillofac Surg 2013; 42: 204-8.CrossRefPubMed
16.
Zurück zum Zitat Kristensen MS. Ultrasonography in the management of the airway. Acta Anaesthesiol Scand 2011; 55: 1155-73.CrossRefPubMed Kristensen MS. Ultrasonography in the management of the airway. Acta Anaesthesiol Scand 2011; 55: 1155-73.CrossRefPubMed
17.
Zurück zum Zitat Law JA, Broemling N, Cooper RM, et al. The difficult airway with recommendations for management—part 2—the anticipated difficult airway. Can J Anesth 2013; 60: 1119-38.CrossRefPubMedPubMedCentral Law JA, Broemling N, Cooper RM, et al. The difficult airway with recommendations for management—part 2—the anticipated difficult airway. Can J Anesth 2013; 60: 1119-38.CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Kristensen MS, Teoh WH, Baker PA. Percutaneous emergency airway access; prevention, preparation, technique and training. Br J Anaesth 2015; 114: 357-61.CrossRefPubMed Kristensen MS, Teoh WH, Baker PA. Percutaneous emergency airway access; prevention, preparation, technique and training. Br J Anaesth 2015; 114: 357-61.CrossRefPubMed
19.
Metadaten
Titel
Deficiencies in locating the cricothyroid membrane by palpation: We can’t and the surgeons can’t, so what now for the emergency surgical airway?
verfasst von
J. Adam Law, MD
Publikationsdatum
05.05.2016
Verlag
Springer US
Erschienen in
Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Ausgabe 7/2016
Print ISSN: 0832-610X
Elektronische ISSN: 1496-8975
DOI
https://doi.org/10.1007/s12630-016-0648-4

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