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The introduction of emergency cricothyroidotomy simulation training in Zimbabwe contributed to the saving of two lives

  • M B Avnstorp (a1), P V F Jensen (a1), T Dzongodza (a2), N Matinhira (a2), C Chidziva (a2), J Melchiors (a1) (a3) and C Von Buchwald (a1)...

Abstract

Background:

In developing countries with limited access to ENT services, performing emergency cricothyroidotomy in patients with upper airway obstruction may be a life-saving last resort. An established Danish–Zimbabwean collaboration of otorhinolaryngologists enrolled Zimbabwean doctors into a video-guided simulation training programme on emergency cricothyroidotomy. This paper presents the positive effect of this training, illustrated by two case reports.

Case reports:

A 56-year-old female presented with upper airway obstruction due to a rapidly progressing infectious swelling of the head and neck progressing to cardiac arrest. Cardiopulmonary resuscitation was initiated and a secure surgical airway was established via an emergency cricothyroidotomy, saving the patient. A 70-year-old male presented with upper airway obstruction secondary to intubation for an elective procedure. When extubated, the patient exhibited severe stridor followed by respiratory arrest. Re-intubation attempts were unsuccessful and emergency cricothyroidotomy was performed to secure the airway, preserving the life of the patient.

Conclusion:

Emergency cricothyroidotomy training should be considered for all surgeons, anaesthetists and, eventually, emergency and recovery room personnel in developing countries. A video-guided simulation training programme on emergency cricothyroidotomy in Zimbabwe proved its value in this regard.

Copyright

Corresponding author

Address for correspondence: Dr Magnus Balslev Avnstorp, Dept of Otorhinolaryngology, Head and Neck Surgery and Audiology, F2071, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, DK-2100 Copenhagen Ø, Denmark. E-mail: magnusavnstorp@gmail.com

References

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Keywords

The introduction of emergency cricothyroidotomy simulation training in Zimbabwe contributed to the saving of two lives

  • M B Avnstorp (a1), P V F Jensen (a1), T Dzongodza (a2), N Matinhira (a2), C Chidziva (a2), J Melchiors (a1) (a3) and C Von Buchwald (a1)...

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