Evidence map›Paper›PMID 39516803›Full record

Trial reportBMC anesthesiology2024

Comparison of bougie-guided cricothyrotomy and traditional cricothyrotomy techniques in an obese 3D-printed surgical airway manikin: a randomized controlled study.

Secdegül Coşkun Yaş, Emel Altıntaş, Ayfer Keleş, Ahmet Demircan

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Secdegül Coşkun YaşDepartment of Emergency Medicine, Ankara Training and Research Hospital, Ankara, 06230, Türkiye. secdecoskun@gmail.com.ORCID 0000-0002-8936-3988
Emel AltıntaşDepartment of Emergency Medicine, Ufuk University Hospital, Ankara, Türkiye.ORCID 0000-0003-4487-5661
Ayfer KeleşDepartment of Emergency Medicine, Gazi University Hospital, Ankara, Türkiye.ORCID 0000-0003-4429-3100
Ahmet DemircanDepartment of Emergency Medicine, Gazi University Hospital, Ankara, Türkiye.ORCID 0000-0002-7993-8098

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity is one of the conditions that may require invasive airway management. The effectiveness of invasive airway techniques in obesity is not fully understood, and there is no routinely recommended technique. This study aimed to compare the first attempt success rate, procedure time, and difficulty of traditional surgical cricothyrotomy and bougie-guided cricothyrotomy on a 3D-printed surgical airway manikin made obese using simple techniques.

methodsThe study was designed as a prospective randomized controlled study. The obese simulation was created with a 3D-printed surgical airway manikin and sponge layers. Bougie-guided cricothyrotomy and traditional cricothyrotomy techniques were taught to emergency residents, and they were asked to practice the technique on the designed manikin. The duration of the procedure for both techniques, the number of attempts, the success rate, and the difficulty scores of the techniques were recorded.

resultsA total of 24 residents were included in the study. As the first technique, 13 residents used bougie-guided cricothyrotomy. A total of 23 (95.8%) were successful with both techniques. In the traditional surgical cricothyrotomy, 7 (31.8%) residents were successful on the first attempt, while in the bougie-guided cricothyrotomy, 15 (68.2%) residents were successful on the first attempt (p = 0.020). In residents with less than 2 years of seniority, the mean difficulty score of the bougie-guided cricothyrotomy was lower (p = 0.024).

conclusionsThe success rate of the bougie-guided cricothyrotomy in the first attempt was higher than that of the traditional surgical technique. There was no statistically significant difference between the overall success rates and procedure times of both methods. The level of difficulty of the bougie-guided cricothyrotomy was found to be easier, especially for residents with less than two years of seniority. PRESENTATIONS: The manuscript has been presented 9th EurAsian Congress on Emergency Medicine (oral presentation) at the 9-12 November, 2023, Antalya, Turkey, and won the best oral abstract award at this congress.

Indexed as

Airway ManagementManikinsObesityCricoid CartilageHumansInternship and ResidencyPrinting, Three-DimensionalProspective StudiesThyroid CartilageAirway managementCricothyrotomyDifficult airwayObese simulationSimulation trainingSurgical airway

Identifiers

PMID39516803
PMCPMC11546524

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.