Document Detail

Emergency cricothyrotomy: long-term results.
MedLine Citation:
PMID:  11308001     Owner:  NLM     Status:  MEDLINE    
In 1996 we reviewed the literature and reported on our own series of emergency cricothyrotomy (EC) patients. The success rate in obtaining an airway was very good. The survival rate was also acceptable. However, there have been no reports of long-term results of EC. We retrospectively reviewed the long-term results in 27 survivors of 65 original EC patients. The average length of follow-up was 37 months (1-77 months). In 13 patients no airway problems were found. The remaining 14 patients had only minor problems such as hoarse voice and mild untreated stenosis. Of these 27 patients, however, only seven were doing well. Five patients had relatively minor problems such as the need for a gastrostomy tube, minor shortness of breath, or minor neurological problems. Fifteen patients had major problems: cervical spine injuries, changes in mental status, need for permanent nursing home care, seizure disorders, or injuries that precluded their working. In most cases these problems were due to the underlying disease process. EC is effective in obtaining an airway with a low incidence of later severe airway problems. However, many of these patients do poorly overall.
J H Isaacs
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  67     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  2001 Apr 
Date Detail:
Created Date:  2001-04-18     Completed Date:  2001-05-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  346-9; discussion 349-50     Citation Subset:  IM    
Department of Otolaryngology, University of Florida, Jacksonville, USA.
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MeSH Terms
Aged, 80 and over
Cricoid Cartilage / surgery*
Critical Illness / therapy*
Dyspnea / etiology
Emergency Treatment / adverse effects,  methods*,  mortality
Health Status
Hoarseness / etiology
Intubation, Intratracheal
Middle Aged
Retrospective Studies
Seizures / etiology
Survival Analysis
Tracheal Stenosis / etiology
Tracheotomy / adverse effects,  methods*,  mortality
Treatment Outcome

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