The SimKit Podcast
The (Un)common Cric- Incidence of Surgical Airway in Modern Medicine
Dec 14, 2023
Exploring the rarity of surgical airway procedures in modern medicine and the importance of maintaining skills for such procedures. Reviewing the incidence of cricothyroidotomy in emergency medicine and the impact of technology on decreasing the need for this procedure.
15:16
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Quick takeaways
- The current incidence of surgical airways post-tracheal intubations ranges from 0.3% to 1.1%, showcasing the rare need for this procedure despite advancements in airway management technology.
- Approximately half of cricothyroidotomy cases are trauma-related, with 14 patients in arrest during intubation, highlighting the critical and time-sensitive nature of airway management interventions.
Deep dives
Frequency of Cricothyroidotomy Incidence
The podcast delves into the evolving incidence of cricothyroidotomy, particularly in failed airway scenarios. Data from the American Journal of Emergency Medicine is discussed, indicating a current incidence of 0.3% to 1.1% for rescue airways post-tracheal intubations. A study within the NEAR dataset from 2016 to 2018 showcases that out of 17,720 intubation attempts, 49 necessitated surgical airways, equating to 2.8 cases per thousand or 0.28%. This illustrates the importance of maintaining readiness for rare procedures despite advancements in airway management technology.
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