Emergency Front of Neck Airway in Children
Conditions
Keywords
Cannot intubate, cannot oxygenate in children, emergency front of neck airway, rabbit cadaver model, emergency tracheotomy
Brief summary
A cannot intubate, cannot oxygenate (CICO) situation is rare in paediatric anaesthesia, but can always occur in children under certain emergency situations. There is a paucity of literature on specific procedures for securing an emergency invasive airway in children under the age of 6 years. A modified emergency Front Of Neck Access (eFONA) technique using a rabbit cadaver model was developed to teach invasive airway protection in a CICO situation in children. After watching an instructional video of our eFONA technique (tracheotomy, initial intubation with Frova catheter over which an endotracheal tube is inserted), 29 anaesthesiologists will perform two separate attempts on rabbit cadavers. The primary outcome is the success rate and the performance time overall and in subgroups of trained and untrained participants.
Interventions
PROCEDUREeFONA
Surgical Tracheotomy
Sponsors
University Children's Hospital, Zurich
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Anesthesiologists working at the department of Anesthesia at University Children's Hospital Zurich
Exclusion criteria
* n.a.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sucess rate | during study period, approx 15min | Correct positioning of the endotracheal tube in to the trachea |
| Performance time | during study period, max 240 sec | Time needed to complete the surgical tracheotomy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Secondary injuries | during study period, approx 15min | paratracheal placement of the ETT, perforation of the back wall or complete rupture of the trachea |
Countries
Switzerland
Outcome results
None listed