TITLE

Emergency Cricothyrotomy: Long-Term Results

AUTHOR(S)
Isaacs Jr, John H.
PUB. DATE
April 2001
SOURCE
American Surgeon;Apr2001, Vol. 67 Issue 4, p346
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
In 1996 we reviewed the literature and reported on our own series of emergency cricothyrotomy (EC) patients. The success rate in obtaining an airway was very good. The survival rate was also acceptable. However, there have been no reports of long-term results of EC. We retrospectively reviewed the long-term results in 27 survivors of 65 original EC patients. The average length of follow-up was 37 months (1-77 months). In 13 patients no airway problems were found. The remaining 14 patients had only minor problems such as hoarse voice and mild untreated stenosis. Of these 27 patients, however, only seven were doing well. Five patients had relatively minor problems such as the need for a gastrostomy tube, minor shortness of breath, or minor neurological problems. Fifteen patients had major problems: cervical spine injuries, changes in mental status, need for permanent nursing home care, seizure disorders, or injuries that precluded their working. In most cases these problems were due to the underlying disease process. EC is effective in obtaining an airway with a low incidence of later severe airway problems. However, many of these patients do poorly overall.
ACCESSION #
5181313

 

Related Articles

  • Difficult Airway Management Following Severe Gasoline Burn Injury. Matthews, Robert; Greathouse, Jeffrey S.; Stuart, Jamie L.; White Jr., William A. // AANA Journal;Dec2012, Vol. 80 Issue 6, p418 

    A letter to the editor is presented in response to the article "Difficult Airway Management Following Severe Gasoline Burn Injury: A Case Report," by J. S. Greathouse in the August 2012 issue.

  • Scalpel-bougie cricothyroidotomy most efficient for obtaining emergency front of neck access.  // British Journal of Hospital Medicine (17508460);Oct2016, Vol. 77 Issue 10, p558 

    The article discusses the findings of a study about the effectiveness of the scalpel-bougie cricothyroidotomy technique as an emergency method for front of neck access when a patient's airway is blocked.

  • Role of Gastrograffin in the Management of Adhesive Small Bowel Obstruction - A Prospective Study. Dalal, Satish; Nityasha, M.S.; Goyal, Pawan; Dahiya, R. S. // Internet Journal of Gastroenterology;2010, Vol. 9 Issue 1, p5 

    Adhesive small bowel obstruction is a major cause of hospital admissions imposing a considerable burden on hospital resources. Early diagnosis and appropriate management of this condition is important to prevent unnecessary surgeries. Various studies have evaluated the efficacy of contrast...

  • ETHICAL MOMENT: HOW SHOULD DENTISTS ADDRESS PATIENTS' AFTER-HOURS EMERGENCIES? Raimann, Thomas E. // Journal of the American Dental Association (JADA);Jun2013, Vol. 144 Issue 6, p661 

    The article provides an answer to a question of appropriately handling patients' after-hours emergencies for dentists.

  • Variations in mortality after emergency laparotomy: the first report of the UK Emergency Laparotomy Network. Saunders, D. I.; Murray, D.; Pichel, A. C.; Varley, S.; Peden, C. J.; UK Emergency Laparotomy Network // BJA: The British Journal of Anaesthesia;Sep2012, Vol. 109 Issue 3, p368 

    Background: Emergency laparotomy is a common intra-abdominal procedure. Outcomes are generally recognized to be poor, but there is a paucity of hard UK data, and reports have mainly been confined to single-centre studies.Methods: Clinicians were invited to join an...

  • MTHFR C677T mutasyonunun neden olduÄŸu süperior mezenterik ven trombozu. Atak, İbrahim; Çalışkan, Müjgan; Başak, Fatih; Bilgili, Ülker; Baş, Gürhan; Alimoğlu, Orhan // Genel Tip Dergisi;2012, Vol. 22 Issue 2, p74 

    Objective: Acute superior mesenteric venous thrombosis is a rare cause of intestinal ischemia comprising 5-15% of all mesenteric ischemic events. In this report we aimed to present two patients with superior mesenteric venous thrombosis due to hereditary thrombophilia. Case report: Laparotomy...

  • Postpolypectomy Electrocoagulation Syndrome: A Mimicker of Colonic Perforation. Benson, Brian C.; Myers, Jonathan J.; Laczek, Jeffrey T. // Case Reports in Emergency Medicine;2013, p1 

    Postpolypectomy electrocoagulation syndrome is a rare complication of polypectomy with electrocautery and is characterized by a transmural burn of the colon wall. Patients typically present within 12 hours after the procedure with symptoms mimicking colonic perforation. Presented is the case of...

  • Comparative Study Between Omentopexy and Omental Plugging in Treatment of Giant Peptic Perforation. Mukhopadhyay, Madhumita; Banerjee, Chirantan; Sarkar, Sabyasachi; Roy, Debabrata; Rahman, Quazi // Indian Journal of Surgery;Oct2011, Vol. 73 Issue 5, p341 

    Giant peptic perforation is a life threatening surgical emergency with high mortality.. This study aims to compare the success rate between omental plugging and standard omentopexy in the emergency management of giant perforations. A prospective non-randomized study of 23 patients with giant...

  • Acetabular Liner Dissociation following Total Hip Arthroplasty: A Rare but Serious Complication That May Be Easily Misinterpreted in the Emergency Department. O’Neill, Christopher K. J.; Napier, Richard J.; Diamond, Owen J.; O’Brien, Seamus; Beverland, David E. // Case Reports in Emergency Medicine;10/12/2015, Vol. 2015, p1 

    Acetabular liner dissociation is a rare complication of Total Hip Arthroplasty (THA) which requires urgent revision surgery. A case is presented in which the correct diagnosis was not appreciated on two separate Emergency Department attendances. The typical symptoms, signs, and radiological...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics