Airway management is a top priority for the anesthesiologist and, more broadly, for all medical personnel involved in acute care. The anesthesiologist is accustomed to airway management on a day-to-day basis, with all the resources at his or her disposal. However, the use of cricotomy is the last option in the airway management algorithm, and when necessary, cricotomy is often delayed or not performed due to a certain denial or even stupefaction of the operator.
This study sought to demystify cricotomy and demonstrate the benefits of simulation.
In this prospective study, we compared two heterogeneous groups in terms of medical training (anesthesia assistants and military paramedics) in order to highlight the simplicity of the gesture. Two simulation sessions were conducted in each group, and the results showed that simulation allows rapid learning of this technique and produces good results, with good retention of skills in the medium term.
A survey of anesthesia trainees also revealed significant benefits after a single simulation session such as this one.
What is already known about the topic?
Cricotomy is rarely performed by anesthesiologists, who therefore are poorly trained in this procedure and have little experience with it. Simulation and repetition is the best way to integrate a technique and be prepared for an emergency situation.
What does this article bring up for us?
Cricotomy is a simple technique that is within everyone’s reach. A short training allows both medical and non-medical personnel to perform it in a reasonable amount of time. No in-depth medical knowledge is required. A simple kit allows easy learning with a good success rate.
Keywords
Cricotomy, cricothyroidotomy, anesthesia assistant, military paramedic, simulation