Intubation of the Right Atrium During an Attempted Modified Surgical Airway in a Pig

Jason Bowman, Andrew Juergens, Matthew McClure, Dave Spear

Research output: Contribution to journalArticle

Abstract

In modern medicine, the surgical cricothyrotomy is an airway procedure of last resort. In austere environments, however, its simplicity may make it a more feasible option than carrying a full complement of laryngoscopes. To create a Transportation Security Agency-compliant compact first-response bag, we attempted to establish a surgical cricothyrotomy in a pig, using trauma shears, basic medical scissors, a pocket bougie, and an endotracheal tube. Bougies can provide tactile feedback via the "tracheal ring sign" and "stop sign" to indicate positive tracheal placement during orotracheal intubation. We report on a previously unknown serious potential complication that questions the use of scissors to establish a surgical airway and the reliability of tactile bougie signs when translated into certain surgical airways.

Original languageEnglish (US)
Pages (from-to)96-100
Number of pages5
JournalJournal of special operations medicine : a peer reviewed journal for SOF medical professionals
Volume17
Issue number2
StatePublished - Apr 1 2016

ASJC Scopus subject areas

  • Medicine(all)

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