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A "cannot intubate, cannot oxygenate" (CICO) situation is rare in paediatric anaesthesia, but can always occur in children under certain emergency situations. There is a paucity of literature on specific procedures for securing an emergency invasive airway in children under the age of 6 years. A modified emergency Front Of Neck Access (eFONA) technique using a rabbit cadaver model was developed to teach invasive airway protection in a CICO situation in children.
After watching an instructional video of our eFONA technique (tracheotomy, initial intubation with Frova catheter over which an endotracheal tube is inserted), 29 anaesthesiologists will perform two separate attempts on rabbit cadavers. The primary outcome is the success rate and the performance time overall and in subgroups of trained and untrained participants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Trained in eFONA | Trained participants completed our eFONA workshop within the last six month prior to participating in this study |
| |
| Untrained in eFONA | Untrained participants had never taken part in our institutional eFONA workshop |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| eFONA | Procedure | Surgical Tracheotomy |
|
| Measure | Description | Time Frame |
|---|---|---|
| Sucess rate | Correct positioning of the endotracheal tube in to the trachea | during study period, approx 15min |
| Performance time | Time needed to complete the surgical tracheotomy | during study period, max 240 sec |
| Measure | Description | Time Frame |
|---|---|---|
| Secondary injuries | paratracheal placement of the ETT, perforation of the back wall or complete rupture of the trachea | during study period, approx 15min |
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Inclusion Criteria:
Exclusion Criteria:
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Anesthesiologists working at the department of Anesthesia at University Children's Hospital Zurich
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Childrens Hospital, Department of Anaesthesia and Children's Research Centre | Zurich | 8032 | Switzerland |
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