{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:35:50Z","timestamp":1777563350305,"version":"3.51.4"},"reference-count":38,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T00:00:00Z","timestamp":1762473600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T00:00:00Z","timestamp":1762473600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To identify factors influencing time-to-operating room and time-to-airway intervention in urgent tracheotomy and synthesize strategies to reduce delays in airway emergencies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A scoping review was conducted following the Joanna Briggs Institute framework and reported according to PRISMA-ScR guidelines. MEDLINE, Embase, Scopus, Web of Science, and Google Scholar were searched from inception to June 2024. Eligible studies involved adults (\u226518\u2009years) undergoing urgent tracheotomy for airway obstruction due to malignancy or infection. Trauma, angioedema, laryngotracheal stenosis, post-radiation edema, and vocal fold paralysis were excluded to reduce heterogeneity and focus on institutional\/system-level factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 1339 records identified, 3 studies (n\u2009=\u2009531 patients) met the inclusion criteria. Dyspnea and stridor were the most common presenting symptoms. Malignancy and deep neck infection accounted for most indications. Reported delays were related to operating room access, staffing shortages, and coordination challenges. Complication rates ranged from 8% to 28%, with hemorrhage and infection most frequent; no deaths were directly attributed to tracheotomy. Decannulation rates were higher in non-malignant than in malignant cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Urgent tracheotomy for airway obstruction due to malignancy or infection is time-sensitive, with delays shaped by institutional barriers. Standardized protocols, improved staffing, simulation-based training, and rapid-response teams represent actionable strategies to enhance airway emergency readiness and outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01455613251388399","type":"journal-article","created":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T10:47:13Z","timestamp":1762512433000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Influencing Time-to-OR for Urgent Tracheotomy: A Scoping Review"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-5433-5808","authenticated-orcid":false,"given":"Raisa","family":"Chowdhury","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob G. J.","family":"Wihlidal","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8502-3214","authenticated-orcid":false,"given":"Yvonne","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada"},{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, St. Michael\u2019s Hospital, Unity Health, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,7]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjae.2017.12.002"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000005364"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2018.05.006"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-018-2121-y"},{"key":"e_1_3_3_6_2","unstructured":"McMahon K Tariq A Morley EJ. Cricothyroidotomy. [Updated 2025 April 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK537350\/"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2024.06.3804"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.3892\/etm.2023.12154"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.5847\/wjem.j.1920-8642.2016.03.011"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.emc.2018.09.010"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40696-017-0035-x"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200103000-00021"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otoeng.2023.06.011"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215124000537"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/tsaco-2024-001479"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.29000"},{"key":"e_1_3_3_17_2","first-page":"217","article-title":"Systematic reviews of etiology and risk","volume":"5","author":"Moola S","unstructured":"Moola S, Munn Z, Tufanaru C, et al Systematic reviews of etiology and risk. In: Joanna Briggs Institute Reviewer\u2019s Manual. Vol. 5. The Joanna Briggs Institute; 2017:217-269.","journal-title":"Joanna Briggs Institute Reviewer\u2019s Manual"},{"key":"e_1_3_3_18_2","first-page":"368","volume-title":"Statistical Package for the Social Sciences (SPSS)","author":"Nie NH","unstructured":"Nie NH, Hull CH, Jenkins JG, Steinbrenner K, Bent DH. Statistical Package for the Social Sciences (SPSS). MacGraw Hill; 1975:368-373."},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820947001"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2006.12.012"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2019.07.011"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s43678-023-00538-7"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/00034894221123124"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.357"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000180176.66968.0f"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2020.04.054"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-019-0894-4"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20703"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2011.01.041"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-020-01135-2"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2000.105714"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aes393"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2019.10.026"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40001-022-00753-5"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40463-019-0332-0"},{"key":"e_1_3_3_36_2","first-page":"393","article-title":"Using simulation technology to improve patient safety in airway management by practicing otolaryngologists","volume":"257","author":"Sommerfeld C","year":"2019","unstructured":"Sommerfeld C, Scott G, Fung K, et al Using simulation technology to improve patient safety in airway management by practicing otolaryngologists. Stud Health Technol Inform. 2019;257:393-398.","journal-title":"Stud Health Technol Inform"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2020.04.064"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16815"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30674"}],"container-title":["Ear, Nose &amp; Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613251388399","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/01455613251388399","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613251388399","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:39:12Z","timestamp":1777401552000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/01455613251388399"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,7]]},"references-count":38,"alternative-id":["10.1177\/01455613251388399"],"URL":"https:\/\/doi.org\/10.1177\/01455613251388399","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,7]]},"article-number":"01455613251388399"}}