• J Emerg Med · Jan 1993

    Surgical cricothyrotomy performed by air ambulance flight nurses: a 5-year experience.

    • M F Boyle, D Hatton, and C Sheets.
    • Wright State University School of Medicine, Department of Emergency Medicine, Dayton, Ohio.
    • J Emerg Med. 1993 Jan 1;11(1):41-5.

    AbstractLimited information exists in the current medical literature regarding the performance of surgical cricothyrotomy by flight nurse personnel. We undertook a retrospective review of all flight records from our regional air ambulance service. The flight team transported 2,188 patients during this time; 69 patients required surgical cricothyrotomy for airway access. In all cases, the procedure was performed by a flight nurse working under a predefined airway protocol. Indications for the procedure were predominantly for maxillofacial trauma. A secure airway was established in 98.5% of the cases (68/69). Acute complications involved hemorrhage (3) and placement (3) with a complication rate of 8.7%. We conclude that surgical cricothyrotomy can be performed by well-trained flight nurses with a high success rate and an acceptable complication rate.

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