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Cricothyroid membrane puncture and incision,the key techniques to save the lives of the patients in the Can't Intubate,Can't Oxygenate (CICO) emergency,need to be mastered by all the airway management staff.However,the decision to carry out cricothyroid membrane puncture or incision is often delayed due to the unfamiliarity with the adjacent anatomical structure of the cricothyroid membrane and the inability to accurately locate the cricothyroid membrane.As a result,serious complications and rescue failure occur.Therefore,airway management staff should be familiar with the adjacent structure and positioning methods of the cricothyroid membrane,so as to improve the success rate of emergency airway rescue,reduce complications,and protect the airway and life safety of the patients.
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http://dx.doi.org/10.3881/j.issn.1000-503X.15093 | DOI Listing |
Anaesthesia
September 2025
Department of Anesthesiology and Pain Medicine, Women's College Hospital, and Toronto Western Hospital, University Health Network, Toronto, Canada.
Introduction: The utility of bedside screening tests for the prediction of difficult airways is limited. There is growing interest in the role of point-of-care-ultrasound in airway assessment and management. This systematic review and meta-analysis aimed to determine the diagnostic utility and clinical application of various upper airway point-of-care-ultrasound parameters in the prediction of difficult airways.
View Article and Find Full Text PDFJ Clin Med
August 2025
Department of Anesthesiology, Kyorin University School of Medicine, Mitaka 181-8611, Japan.
Ultrasound-guided identification of the cricothyroid membrane is more accurate than traditional palpation techniques. Additionally, real-time ultrasound-guided puncture is more precise than ultrasound alone. However, no dedicated device currently exists for ultrasound-guided needle cricothyroidotomy.
View Article and Find Full Text PDFJ Voice
August 2025
Department of Otolaryngology - Head & Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France; Phonetics and Phonology Laboratory (UMR 7018 CNRS, Université Sorbonne Nouvelle/Paris 3), Paris, France;
Objective: To investigate the effectiveness of vocal fold botulinum toxin injection (BTI) for treating patients with the glottic form of exercise-induced laryngeal obstruction (EILO).
Methods: The outcomes of 13 patients treated with BTI for a confirmed diagnosis of EILO between May 2017 and July 2024 were retrospectively analyzed. Electromyography-guided bilateral BTI (1.
Laryngoscope
July 2025
Division of Laryngology, Department of Otolaryngology-Head and Neck Surgery, Emory University, Atlanta, Georgia, USA.
We report a case of a complete cricothyroid membrane soft tissue defect successfully reconstructed with a synthetic, resorbable, hybrid-scale fiber matrix (Restrata). This matrix offers an alternative to traditional allogeneic, xenogeneic, and biologic reconstructive options while potentially avoiding the complications associated with it.
View Article and Find Full Text PDFCureus
May 2025
Emergency Medicine, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, IND.
Background and objectives Cricothyrotomy is a life-saving procedure in "cannot intubate, cannot ventilate" scenarios, with accurate identification of the cricothyroid membrane (CTM) being critical to success. Palpation techniques are often unreliable, especially in obese patients. This study aimed to compare the time taken and success rates of transverse versus longitudinal ultrasound approaches for CTM identification by anesthesiology trainees in volunteers of varying body habitus.
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