Bruce R Paix, MBBS, BMedSc(Hons), FANZCA, Retrieval Consultant; William M Griggs, AM, ASM, MBBS, FANZCA, FCICM, Retrieval Consultant.
Emergency surgical cricothyroidotomy: 24 successful cases leading to a simple ‘scalpel–finger–tube’ method
Article first published online: 7 DEC 2011
© 2011 The Authors. EMA © 2011 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine
Emergency Medicine Australasia
Volume 24, Issue 1, pages 23–30, February 2012
How to Cite
Paix, B. R. and Griggs, W. M. (2012), Emergency surgical cricothyroidotomy: 24 successful cases leading to a simple ‘scalpel–finger–tube’ method. Emergency Medicine Australasia, 24: 23–30. doi: 10.1111/j.1742-6723.2011.01510.x
- Issue published online: 8 FEB 2012
- Article first published online: 7 DEC 2011
- Accepted 13 September 2011
- airway management;
- intubation intra-tracheal;
Surgical airway access justifiably remains the final option for managing the ‘can't intubate can't ventilate’ situation, but available techniques are often complicated and might require special equipment. This paper reports on the real world experience of two experienced Australian medical specialists with backgrounds in Anaesthesia and Aeromedical Retrieval who performed 24 surgical airways, mainly under adverse prehospital conditions, over a combined 40 years of practice. All attempts were successful, the majority through a simple open ‘scalpel–finger–tube’ method, which is described here.