PubMed · 11337647
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S Montanini. 2001. [About "informed consent"].. https://pubmed.ncbi.nlm.nih.gov/11337647/
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OBJECTIVES: The aim of the study was a demonstration of peculiarities of two invasive airway management methods performed by anesthesiology residents as a subgroup of emergency physicians. METHODS: During an airway management training seminar,2 groups including 18 anaesthesiology residents and 2 students performed a simulated emergency surgical cricothyrotomy on unfixed cadavers. The more experienced physicians in group 2 started with a puncture technique preceding a blind surgical approach. The time needed to perform each procedure and resulting complications were analyzed. RESULTS: The time taken ranged from 75 to 280 s (median 180 s) in group 1 and from 53 to 255 s (median 73 s) in group 2. The surgical approach caused "bleeding" in 40% (group 1) and 30% (group 2) and damage to the cartilages occurred in 20% and 30%, respectively. Punctures were performed within 10-36 s (median 25 s) and 70% were successful without complications. CONCLUSIONS: Puncture of the cricothyroid membrane can serve as initial emergency approach or as intermediate airway access until a surgical method is available.
The Cochrane Collaboration is an international non-profit organisation that aims to help clinicians in making well-informed decisions about health care issues. This is done through preparing, maintaining and disseminating systematic reviews on the effects of health care interventions. To facilitate this task, review groups have been established. These groups cover specific health care areas and form the organisational basis of the collaboration. They provide methodological and logistic help to the authors of the systematic reviews. The Cochrane Anaesthesia Review Group (CARG) covers anaesthesia, perioperative medicine, intensive care,pre-hospital medicine, resuscitation, and emergency medicine. Protocols and completed Cochrane reviews are published in a structured format in the electronic Cochrane Library. Beside this Cochrane database of systematic reviews, the Cochrane library contains a database with summaries of non-Cochrane systematic reviews (database of abstracts of reviews of effectiveness), and a comprehensive database with controlled clinical trials (Cochrane central register of controlled trials). Thus the Cochrane library is a useful source of information on health care interventions for anaesthetists.