A pilot study evaluating the utility of a novel tube cricothyrotomy technique in providing ventilation in small animals using a live porcine model

Sureiyan Hardjo, Catriona Croton, Mark D HaworthSchool of Veterinary Science, The University of Queensland, Gatton 4343, Queensland, AustraliaCorrespondence: Sureiyan HardjoSchool of Veterinary Science, The University of Queensland, Gatton 4343, Queensland, AustraliaEmail s.hardjo@uq.edu.auBackgroun...

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Autores principales: Hardjo S, Croton C, Haworth MD
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Publicado: Dove Medical Press 2019
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Acceso en línea:https://doaj.org/article/ef6f3e5e727042529cdb6c24ef186948
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spelling oai:doaj.org-article:ef6f3e5e727042529cdb6c24ef1869482021-12-02T10:37:43ZA pilot study evaluating the utility of a novel tube cricothyrotomy technique in providing ventilation in small animals using a live porcine model2230-2034https://doaj.org/article/ef6f3e5e727042529cdb6c24ef1869482019-08-01T00:00:00Zhttps://www.dovepress.com/a-pilot-study-evaluating-the-utility-of-a-novel-tube-cricothyrotomy-te-peer-reviewed-article-VMRRhttps://doaj.org/toc/2230-2034Sureiyan Hardjo, Catriona Croton, Mark D HaworthSchool of Veterinary Science, The University of Queensland, Gatton 4343, Queensland, AustraliaCorrespondence: Sureiyan HardjoSchool of Veterinary Science, The University of Queensland, Gatton 4343, Queensland, AustraliaEmail s.hardjo@uq.edu.auBackground: Tube cricothyrotomy has been suggested as a first-choice for emergency surgical airway access in small animals, rather than the more commonly accepted procedures of tracheotomy and needle cricothyrotomy.Methods: A small pilot study of tube cricothyrotomy in a live porcine model was conducted to evaluate this method. The technique was modified to permit the use of commonly available equipment and ease of application. Following ethics approval, a tube cricothyrotomy was performed on 9 live pigs. The endpoints were the efficacy of ventilation through the tube as measured by end-tidal carbon dioxide, successful placement of the tube and the time taken for placement.Results: Of the nine pigs, eight had a tube placed successfully, with the median procedure time being 111.5 seconds (range: 35–240 seconds). After 10 mins, the mean end-tidal carbon dioxide was 58.3 mmHg (95% CI: 55.2–61.3 mmHg), with a range of 54–64 mmHg. Tube cricothyrotomy holds promise as a means of rapidly obtaining tracheal access in small animals and temporarily sustaining ventilation in an emergency.Conclusion: Further detailed investigation is warranted to assess the use of this technique in the small animal emergency setting.Keywords: cricothyrotomy, tracheostomy, canine, ventilation, airway, obstruction, front of neck accessHardjo SCroton CHaworth MDDove Medical PressarticleCricothyrotomycanineventilationairwayobstructionfront of neck accessVeterinary medicineSF600-1100ENVeterinary Medicine: Research and Reports, Vol Volume 10, Pp 111-121 (2019)
institution DOAJ
collection DOAJ
language EN
topic Cricothyrotomy
canine
ventilation
airway
obstruction
front of neck access
Veterinary medicine
SF600-1100
spellingShingle Cricothyrotomy
canine
ventilation
airway
obstruction
front of neck access
Veterinary medicine
SF600-1100
Hardjo S
Croton C
Haworth MD
A pilot study evaluating the utility of a novel tube cricothyrotomy technique in providing ventilation in small animals using a live porcine model
description Sureiyan Hardjo, Catriona Croton, Mark D HaworthSchool of Veterinary Science, The University of Queensland, Gatton 4343, Queensland, AustraliaCorrespondence: Sureiyan HardjoSchool of Veterinary Science, The University of Queensland, Gatton 4343, Queensland, AustraliaEmail s.hardjo@uq.edu.auBackground: Tube cricothyrotomy has been suggested as a first-choice for emergency surgical airway access in small animals, rather than the more commonly accepted procedures of tracheotomy and needle cricothyrotomy.Methods: A small pilot study of tube cricothyrotomy in a live porcine model was conducted to evaluate this method. The technique was modified to permit the use of commonly available equipment and ease of application. Following ethics approval, a tube cricothyrotomy was performed on 9 live pigs. The endpoints were the efficacy of ventilation through the tube as measured by end-tidal carbon dioxide, successful placement of the tube and the time taken for placement.Results: Of the nine pigs, eight had a tube placed successfully, with the median procedure time being 111.5 seconds (range: 35–240 seconds). After 10 mins, the mean end-tidal carbon dioxide was 58.3 mmHg (95% CI: 55.2–61.3 mmHg), with a range of 54–64 mmHg. Tube cricothyrotomy holds promise as a means of rapidly obtaining tracheal access in small animals and temporarily sustaining ventilation in an emergency.Conclusion: Further detailed investigation is warranted to assess the use of this technique in the small animal emergency setting.Keywords: cricothyrotomy, tracheostomy, canine, ventilation, airway, obstruction, front of neck access
format article
author Hardjo S
Croton C
Haworth MD
author_facet Hardjo S
Croton C
Haworth MD
author_sort Hardjo S
title A pilot study evaluating the utility of a novel tube cricothyrotomy technique in providing ventilation in small animals using a live porcine model
title_short A pilot study evaluating the utility of a novel tube cricothyrotomy technique in providing ventilation in small animals using a live porcine model
title_full A pilot study evaluating the utility of a novel tube cricothyrotomy technique in providing ventilation in small animals using a live porcine model
title_fullStr A pilot study evaluating the utility of a novel tube cricothyrotomy technique in providing ventilation in small animals using a live porcine model
title_full_unstemmed A pilot study evaluating the utility of a novel tube cricothyrotomy technique in providing ventilation in small animals using a live porcine model
title_sort pilot study evaluating the utility of a novel tube cricothyrotomy technique in providing ventilation in small animals using a live porcine model
publisher Dove Medical Press
publishDate 2019
url https://doaj.org/article/ef6f3e5e727042529cdb6c24ef186948
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