Cricothyroidotomie

Technique de crico (FONA) à la bougie

Chapter 30: Surgical Airways, Tintinalli, 9e Edition, 2020

Cricothyrotomy and Percutaneous Translaryngeal Ventilation, ROBERTS AND HEDGES' CLINICAL PROCEDURES IN EMERGENCY MEDICINE AND ACUTE CARE, SEVENTH EDITION ISBN: 978-0-323-35478-3, Copyright © 2019 by Elsevier, Inc. Accès via l'AMC

The difficult airway with recommendations for management--part 1--difficult tracheal intubation encountered in an unconscious/induced patient. Law JA, Broemling N, Cooper RM, Drolet P, Duggan LV, Griesdale DE, Hung OR, Jones PM, Kovacs G, Massey S, Morris IR, Mullen T, Murphy MF, Preston R, Naik VN, Scott J, Stacey S, Turkstra TP, Wong DT; Canadian Airway Focus Group. Can J Anaesth. 2013 Nov;60(11):1089-118. doi: 10.1007/s12630-013-0019-3. Epub 2013 Oct 17. PMID: 24132407

Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Frerk C, Mitchell VS, McNarry AF, Mendonca C, Bhagrath R, Patel A, O'Sullivan EP, Woodall NM, Ahmad I; Difficult Airway Society intubation guidelines working group. Br J Anaesth. 2015 Dec;115(6):827-48. doi: 10.1093/bja/aev371. Epub 2015 Nov 10. PMID: 26556848

Surgicric 2: A comparative bench study with two established emergency cricothyroidotomy techniques in a porcine model. Chrisman L, King W, Wimble K, Cartwright S, Mohammed KB, Patel B. Br J Anaesth. 2016 Aug;117(2):236-42. doi: 10.1093/bja/aew174. PMID: 27440636

CONCLUSIONS: This study supports training in and the use of surgical cricothyroidotomy by anaesthetists

Cricothyrotomy technique using gum elastic bougie is faster than standard technique: a study of emergency medicine residents and medical students in an animal lab. Hill C, Reardon R, Joing S, Falvey D, Miner J. Acad Emerg Med. 2010 Jun;17(6):666-9. doi: 10.1111/j.1553-2712.2010.00753.x. Epub 2010 May 14. PMID: 20491685

Emergency cricothyrotomy--a systematic review. Langvad S, Hyldmo PK, Nakstad AR, Vist GE, Sandberg M. Scand J Trauma Resusc Emerg Med. 2013 May 31;21:43. doi: 10.1186/1757-7241-21-43. Review. PMID: 23725520

CONCLUSIONS: The large majority of the studies were too small to demonstrate statistically significant differences, and the limited available evidence was of low or very low quality. That none of the techniques in these studies demonstrated better results than the others does not necessarily indicate that each is equally good, and these conclusions will likely change as new evidence becomes available.

Cricothyroidotomy: comparison of three different techniques on a porcine airway. Mariappa V, Stachowski E, Balik M, Clark P, Nayyar V. Anaesth Intensive Care. 2009 Nov;37(6):961-7. PMID: 20014603 Free Article

We conclude that the CM technique is safe, rapid and has a significantly higher success rate in achieving an artificial airway in this airway model. Overall, all the participants in our study preferred to use this kit in an emergency situation

Evaluation of Seldinger technique emergency cricothyroidotomy versus standard surgical cricothyroidotomy in 200 cadavers. Schaumann N, Lorenz V, Schellongowski P, Staudinger T, Locker GJ, Burgmann H, Pikula B, Hofbauer R, Schuster E, Frass M. Anesthesiology. 2005 Jan;102(1):7-11.PMID: 15618780

CONCLUSIONS: With respect to time needed for the procedure, the participants performed Seldinger technique emergency cricothyroidotomy significantly faster as compared with standard surgical cricothyroidotomy. Even if no training effect had been observed, the authors believe that it is important to train residents in different methods of cricothyroidotomy in cadavers in addition to training in mannequins to achieve a higher level of efficacy in real-life situations. The shorter time to first ventilation and the fact that no injuries could be observed favor the Seldinger technique.