The introduction of emergency cricothyroidotomy simulation training in Zimbabwe contributed to the saving of two lives
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The introduction of emergency cricothyroidotomy simulation training in Zimbabwe contributed to the saving of two lives. / Avnstorp, M. B.; Jensen, P. V. F.; Dzongodza, T.; Matinhira, N.; Chidziva, C.; Melchiors, J.; Von Buchwald, C.
I: Journal of Laryngology and Otology, Bind 130, Nr. 10, 10.2016, s. 923-927.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - The introduction of emergency cricothyroidotomy simulation training in Zimbabwe contributed to the saving of two lives
AU - Avnstorp, M. B.
AU - Jensen, P. V. F.
AU - Dzongodza, T.
AU - Matinhira, N.
AU - Chidziva, C.
AU - Melchiors, J.
AU - Von Buchwald, C.
PY - 2016/10
Y1 - 2016/10
N2 - Background: In developing countries with limited access to ENT services, performing emergency cricothyroidotomy in patients with upper airway obstruction may be a life-saving last resort. An established Danish-Zimbabwean collaboration of otorhinolaryngologists enrolled Zimbabwean doctors into a video-guided simulation training programme on emergency cricothyroidotomy. This paper presents the positive effect of this training, illustrated by two case reports. Case reports: A 56-year-old female presented with upper airway obstruction due to a rapidly progressing infectious swelling of the head and neck progressing to cardiac arrest. Cardiopulmonary resuscitation was initiated and a secure surgical airway was established via an emergency cricothyroidotomy, saving the patient. A 70-year-old male presented with upper airway obstruction secondary to intubation for an elective procedure. When extubated, the patient exhibited severe stridor followed by respiratory arrest. Re-intubation attempts were unsuccessful and emergency cricothyroidotomy was performed to secure the airway, preserving the life of the patient. Conclusion: Emergency cricothyroidotomy training should be considered for all surgeons, anaesthetists and, eventually, emergency and recovery room personnel in developing countries. A video-guided simulation training programme on emergency cricothyroidotomy in Zimbabwe proved its value in this regard.
AB - Background: In developing countries with limited access to ENT services, performing emergency cricothyroidotomy in patients with upper airway obstruction may be a life-saving last resort. An established Danish-Zimbabwean collaboration of otorhinolaryngologists enrolled Zimbabwean doctors into a video-guided simulation training programme on emergency cricothyroidotomy. This paper presents the positive effect of this training, illustrated by two case reports. Case reports: A 56-year-old female presented with upper airway obstruction due to a rapidly progressing infectious swelling of the head and neck progressing to cardiac arrest. Cardiopulmonary resuscitation was initiated and a secure surgical airway was established via an emergency cricothyroidotomy, saving the patient. A 70-year-old male presented with upper airway obstruction secondary to intubation for an elective procedure. When extubated, the patient exhibited severe stridor followed by respiratory arrest. Re-intubation attempts were unsuccessful and emergency cricothyroidotomy was performed to secure the airway, preserving the life of the patient. Conclusion: Emergency cricothyroidotomy training should be considered for all surgeons, anaesthetists and, eventually, emergency and recovery room personnel in developing countries. A video-guided simulation training programme on emergency cricothyroidotomy in Zimbabwe proved its value in this regard.
KW - Airway Obstruction
KW - Developing Countries
KW - Emergency Cricothyroidotomy
KW - Otorhinolaryngologic Surgical Procedures
KW - Simulation Training
KW - Tracheostomy
U2 - 10.1017/S0022215116008719
DO - 10.1017/S0022215116008719
M3 - Journal article
C2 - 27608941
AN - SCOPUS:84986591589
VL - 130
SP - 923
EP - 927
JO - The Journal of laryngology and otology. Supplement
JF - The Journal of laryngology and otology. Supplement
SN - 0144-2945
IS - 10
ER -
ID: 179211858