Abstract
Background: In developing countries with limited access to ENT services, performing emergency cricothyroidotomy in patients with upper airway obstruction may be a life-saving last resort. An established Danish-Zimbabwean collaboration of otorhinolaryngologists enrolled Zimbabwean doctors into a video-guided simulation training programme on emergency cricothyroidotomy. This paper presents the positive effect of this training, illustrated by two case reports. Case reports: A 56-year-old female presented with upper airway obstruction due to a rapidly progressing infectious swelling of the head and neck progressing to cardiac arrest. Cardiopulmonary resuscitation was initiated and a secure surgical airway was established via an emergency cricothyroidotomy, saving the patient. A 70-year-old male presented with upper airway obstruction secondary to intubation for an elective procedure. When extubated, the patient exhibited severe stridor followed by respiratory arrest. Re-intubation attempts were unsuccessful and emergency cricothyroidotomy was performed to secure the airway, preserving the life of the patient. Conclusion: Emergency cricothyroidotomy training should be considered for all surgeons, anaesthetists and, eventually, emergency and recovery room personnel in developing countries. A video-guided simulation training programme on emergency cricothyroidotomy in Zimbabwe proved its value in this regard.
| Original language | English |
|---|---|
| Journal | Journal of Laryngology and Otology |
| Volume | 130 |
| Issue number | 10 |
| Pages (from-to) | 923-927 |
| Number of pages | 5 |
| ISSN | 0022-2151 |
| DOIs | |
| Publication status | Published - Oct 2016 |
Keywords
- Airway Obstruction
- Developing Countries
- Emergency Cricothyroidotomy
- Otorhinolaryngologic Surgical Procedures
- Simulation Training
- Tracheostomy