{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T17:42:05Z","timestamp":1725385325617},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T00:00:00Z","timestamp":1627430400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T00:00:00Z","timestamp":1627430400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Scand J Trauma Resusc Emerg Med"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Objective<\/jats:title>\n                <jats:p>In the \u2018can\u2019t intubate can\u2019t oxygenate\u2019 scenario, techniques to achieve front of neck access to the airway have been described in the literature but there is a lack of guidance on the optimal method for securing the tracheal tube (TT) placed during this procedure. The aim of this study was to compare three different methods of securing a TT to prevent extubation following a surgical cricothyroidotomy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A randomised controlled trial was undertaken. The population studied were emergency physicians (EPs) attending a cadaveric airway course. The intervention was securing a TT placed via a surgical cricothyroidotomy by suture. The comparison was securing the TT using fabric tape with two different tying techniques. The primary outcome was the force required to extubate the trachea. The trial was registered with ANZCTR.org.au (ACTRN12621000320853).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>17 emergency physicians completed intubations using all three of the securing methods on 12 cadavers for a total of 51 experiments. The mean extubation force was 6.54 KG (95\u2009% CI 5.54\u20137.55) in the suture group compared with 2.28 KG (95\u2009% CI 1.91\u20132.64) in the \u2018Wilko tie\u2019 group and 2.12 KG (95\u2009% CI 1.63\u20132.60) in the \u2018Lark\u2019s foot tie\u2019 group; The mean difference between the suture and fabric tie techniques was significant (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Following a surgical cricothyroidotomy in cadavers, EPs were able to effectively secure a TT using a suture technique, and this method was superior to tying the TT using fabric tape.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13049-021-00925-y","type":"journal-article","created":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T08:03:06Z","timestamp":1627459386000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparing methods to secure a tracheal tube placed via a surgical cricothyroidotomy: a randomised controlled study in cadavers"],"prefix":"10.1186","volume":"29","author":[{"given":"Christopher J","family":"Groombridge","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amit","family":"Maini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Mathew","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yesul","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Fitzgerald","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"De Villiers","family":"Smit","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerard","family":"O\u2019Reilly","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,7,28]]},"reference":[{"key":"925_CR1","doi-asserted-by":"crossref","unstructured":"Higgs A, McGrath BA, Goddard C, Rangasami J, Suntharalingam G, Gale R, Cook TM. Difficult Airway Society; Intensive Care Society; Faculty of Intensive Care Medicine; Royal College of Anaesthetists. Guidelines for the management of tracheal intubation in critically ill adults. Br J Anaesth. 2018;120(2):323\u201352.","DOI":"10.1016\/j.bja.2017.10.021"},{"key":"925_CR2","unstructured":"Sandberg M, Nakstad AR, Berlac PA, Hyldmo PK, Boylan M. Airway assessment and management. ABC Prehospital Emer Med. 2013;258:20."},{"key":"925_CR3","doi-asserted-by":"crossref","unstructured":"Davies G, Deakin C, Wilson A. The effect of a rigid collar on intracranial pressure. Injury. 1996;27(9):647\u20139.","DOI":"10.1016\/S0020-1383(96)00115-5"},{"key":"925_CR4","doi-asserted-by":"crossref","unstructured":"Walters HR, Young HE, Young PJ. A Modified Tie Technique for Securing Endotracheal Tubes. Respir Care. 2018;63(4):424\u20139.","DOI":"10.4187\/respcare.05655"},{"key":"925_CR5","doi-asserted-by":"crossref","unstructured":"Murdoch E, Holdgate A. A comparison of tape-tying versus a tube-holding device for securing endotracheal tubes in adults. Anaesth Intensive Care. 2007;35(5):730\u20135.","DOI":"10.1177\/0310057X0703500512"},{"key":"925_CR6","doi-asserted-by":"crossref","unstructured":"Landsperger JS, Byram JM, Lloyd BD, Rice TW, Pragmatic Critical Care Research Group. The effect of adhesive tape versus endotracheal tube fastener in critically ill adults: the endotracheal tube securement (ETTS) randomized controlled trial. Crit Care. 2019;7(1):161. 23(.","DOI":"10.1186\/s13054-019-2440-7"},{"key":"925_CR7","doi-asserted-by":"crossref","unstructured":"Shimizu T, Mizutani T, Yamashita S, Hagiya K, Tanaka M. Endotracheal tube extubation force: adhesive tape versus endotracheal tube holder. Respir Care. 2011;56(11):1825\u20139.","DOI":"10.4187\/respcare.00954"},{"key":"925_CR8","doi-asserted-by":"crossref","unstructured":"Groombridge C, Maini A, Olaussen A, Kim Y, Fitzgerald M, Mitra B, Smit V. Impact of a targeted bundle of audit with tailored education and an intubation checklist to improve airway management in the emergency department: an integrated time series analysis. Emerg Med J. 2020;37(9):576\u201380.","DOI":"10.1136\/emermed-2019-208935"},{"key":"925_CR9","doi-asserted-by":"crossref","unstructured":"Groombridge CJ, Kim Y, Maini A, Smit V, Fitzgerald MC. Stress and decision-making in resuscitation: A systematic review. Resuscitation. 2019;144:115\u201322.","DOI":"10.1016\/j.resuscitation.2019.09.023"}],"container-title":["Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13049-021-00925-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13049-021-00925-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13049-021-00925-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T08:08:16Z","timestamp":1627459696000},"score":1,"resource":{"primary":{"URL":"https:\/\/sjtrem.biomedcentral.com\/articles\/10.1186\/s13049-021-00925-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,28]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["925"],"URL":"https:\/\/doi.org\/10.1186\/s13049-021-00925-y","relation":{},"ISSN":["1757-7241"],"issn-type":[{"value":"1757-7241","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,28]]},"assertion":[{"value":"12 June 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 July 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 July 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical approval for this study was obtained from University of Melbourne research ethics committee (approval number 1648354, dated 1st October 2020). Written consent was obtained from all the participants.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"CG and AM run a cadaveric airway skills workshop to teach emergency airway management to critical care clinicians.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"104"}}