A "cannot intubate, cannot oxygenate" (CICO) situation is rare in paediatric anaesthesia, but can always occur in children under certain emergency situations. There is a paucity of literature on specific procedures for securing an emergency invasive airway in children under the age of 6 years. A modified emergency Front Of Neck Access (eFONA) technique using a rabbit cadaver model was developed to teach invasive airway protection in a CICO situation in children. After watching an instructional video of our eFONA technique (tracheotomy, initial intubation with Frova catheter over which an endotracheal tube is inserted), 29 anaesthesiologists will perform two separate attempts on rabbit cadavers. The primary outcome is the success rate and the performance time overall and in subgroups of trained and untrained participants.
Study Type
OBSERVATIONAL
Enrollment
29
Surgical Tracheotomy
University Childrens Hospital, Department of Anaesthesia and Children's Research Centre
Zurich, Switzerland
Sucess rate
Correct positioning of the endotracheal tube in to the trachea
Time frame: during study period, approx 15min
Performance time
Time needed to complete the surgical tracheotomy
Time frame: during study period, max 240 sec
Secondary injuries
paratracheal placement of the ETT, perforation of the back wall or complete rupture of the trachea
Time frame: during study period, approx 15min
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