{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T14:24:50Z","timestamp":1777559090545,"version":"3.51.4"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,1,17]],"date-time":"2019-01-17T00:00:00Z","timestamp":1547683200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>\n                    Conventional emergency front of neck airway training manikins mimic slim patients and are associated with unrealistic procedural ease. We have described previously a pork belly\u2010modified manikin that more realistically simulated an obese patient's neck. In this study, we compared a novel obese\u2010synthetic manikin (obese\u2010synthetic manikin) with a pork belly\u2010modified manikin (obese\u2010meat manikin) and a conventional slim manikin (slim manikin). Thirty\u2010three experienced anaesthetists undertook simulated emergency front of neck airway procedures on each manikin (total 99 procedures). Time to ventilation was longer on both obese manikins compared with the slim manikin (median (\n                    <jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>\n                    [range]) time to intubation 159 (126\u2013243 [73\u2013647]) s in the obese\u2010synthetic, 105 (72\u2013138 [43\u2013279]) s in the obese\u2010meat and 58 (47\u201374 [30\u2013370]) s in the slim manikin; p\u00a0&lt;\u00a00.001 between each manikin). Cricothyroidotomy success rate was similar in the both obese manikins but lower when compared with the slim manikin (15\/33 obese\u2010synthetic vs. 14\/33 obese\u2010meat vs. 27\/33 slim manikin). Participant feedback indicated performance difficulty was similar between both obese manikins, which were both more difficult than the slim manikin. The tissues of the obese\u2010meat manikin were judged more realistic than those of either other manikin. Overall, the obese\u2010synthetic manikin performed broadly similarly to the obese\u2010meat manikin and was technically more difficult than the conventional slim manikin. The novel obese\u2010synthetic manikin maybe useful for training and research in front of neck airway procedures.\n                  <\/jats:p>","DOI":"10.1111\/anae.14581","type":"journal-article","created":{"date-parts":[[2019,1,17]],"date-time":"2019-01-17T21:53:37Z","timestamp":1547762017000},"page":"480-487","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["A trial comparing emergency front of neck airway performance in a novel obese\u2010synthetic neck, meat\u2010modified obese neck and conventional slim manikin"],"prefix":"10.1111","volume":"74","author":[{"given":"P. J.","family":"Le Fevre","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Medicine Royal United Hospitals Bath NHS Foundation Trust Bath UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Gough","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Medicine Royal United Hospitals Bath NHS Foundation Trust Bath UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B. J.","family":"Hearne","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Medicine Royal United Hospitals Bath NHS Foundation Trust Bath UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Corbett","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Medicine Royal United Hospitals Bath NHS Foundation Trust Bath UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Seller","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Medicine Royal United Hospitals Bath NHS Foundation Trust Bath UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T. M.","family":"Cook","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Medicine Royal United Hospitals Bath NHS Foundation Trust Bath UK"},{"name":"University of Bristol Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F. E.","family":"Kelly","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Medicine Royal United Hospitals Bath NHS Foundation Trust Bath UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,1,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aer058"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aew221"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000001574"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1054\/ijoa.2001.0858"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14218"},{"key":"e_1_2_6_7_1","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1177\/000313481408000420","article-title":"The use of simulation procedural training to improve self\u2010efficacy, knowledge, and skill to perform cricothyroidotomy","volume":"80","author":"Jayaraman V","year":"2014","journal-title":"American Surgeon"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aev371"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.13567"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000001573"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2018.02.010"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.2003.03412.x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeu336"},{"key":"e_1_2_6_14_1","unstructured":"The Health Research Authority (HRA) in partnership with the Medical Research Council (MRC) Regulatory Support Centre.Do I need NHS REC approval?http:\/\/www.hra-decisiontools.org.uk\/ethics(accessed 26\/10\/2018)."},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aex187"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aew107"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2009.05888.x"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200302000-00013"}],"container-title":["Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fanae.14581","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anae.14581","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T17:55:26Z","timestamp":1761674126000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1111\/anae.14581"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,17]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1111\/anae.14581"],"URL":"https:\/\/doi.org\/10.1111\/anae.14581","archive":["Portico"],"relation":{},"ISSN":["0003-2409","1365-2044"],"issn-type":[{"value":"0003-2409","type":"print"},{"value":"1365-2044","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1,17]]},"assertion":[{"value":"2018-12-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}