Login
Site Search
Trauma-List Subscription

Subscribe

Would you like to receive list emails batched into one daily digest?
No Yes
Modify Your Subscription

Modify

Home > List Archives

Cricothyrotomy vs.tracheostomy ?

Ronald Gross Rgross at harthosp.org
Tue Apr 1 15:02:10 BST 2008


In my opinion, a cric is the only option in this scenario..........

Ron
>>> Ivan Hronek <ivanhronek at yahoo.com> 4/1/2008 9:55 AM >>>
Cricothyrotomy vs. tracheostomy in a failure to intubate/failure to ventilate anoxic patient:
It appears some surgeons are more comfortable to go for a tracheostomy as this is what they do more often.
Cricothyrotomy is expected to be a much quicker way to obtain an airway.

What are your views and experiences on this dilemma ?

 
Ivan Hronek MD 
SFMC, Los Angeles
cell: 310 487-3288
http://health.groups.yahoo.com/group/Anesthideas/ 
Your most unhappy customers are your greatest source of learning. Bill Gates.



Confidentiality Notice: This transmission and any attached documents may be confidential and contain information protected by State and Federal Medical Privacy statutes and is legally privileged. They are intended for use only by the addressee. If you are not the intended recipient of this transmission, or an agent of the intended recipient, you are prohibited from reading, disclosing, printing, saving, copying, using, or otherwise disseminating any information contained in this transmission. If you received this transmission in error, please accept our apologies and notify me at  ivanhronek at yahoo.com and delete the entire message and its attachments. Thank you. Disclaimer: this message contains the personal views of the author. The author will not be responsible in any way for procedures or approaches perfomed in the way suggested in this note. 



 



----- Original Message ----
From: "Sise, Mike MD" <Sise.Mike at scrippshealth.org>
To: trauma-list at trauma.org 
Sent: Tuesday, April 1, 2008 6:29:27 AM
Subject: RE: trauma-list Digest, Vol 58, Issue 1

A question for the trauma.org-istas:

You've completed a brilliantly conceived and daring executed trauma laparotomy in an obese (5 ft 10 in - 250 lbs) hypotensive patient following a motor vehicle crash who required significant resuscitative efforts (1:1 transfusions with a spritzer of normal saline) and is now a bit cold 95F (35C) and you packed the liver which was mildly wet and you placed a drain over a contused by not lacerated mid portion of the pancreas. The patent is hemodynamically stable and you plan a return in 24 to 48 hours depending on his status. There are not bowel anastamoses to perform. There are not other associated injuries.

How to you do your damage control closure: specific details please - do you do anything to prevent recession of the abdominal wall - i.e., sutures approximating the edges or other measures. What is you ventilation and sedation strategy with the open, damage controlled abdomen. Please add any other thoughts you find valuable.

This is an area of much creativity (variation) and we need to share our thoughts.

Mike Sise
San Diego, CA

________________________________

From: trauma-list-bounces at trauma.org on behalf of trauma-list-request at trauma.org 
Sent: Tue 4/1/2008 4:00 AM
To: trauma-list at trauma.org 
Subject: trauma-list Digest, Vol 58, Issue 1



Send trauma-list mailing list submissions to
        trauma-list at trauma.org 

To subscribe or unsubscribe via the World Wide Web, visit
        http://list.mistral.net/mailman/listinfo/trauma-list 
or, via email, send a message with subject or body 'help' to
        trauma-list-request at trauma.org 

You can reach the person managing the list at
        trauma-list-owner at trauma.org 

When replying, please edit your Subject line so it is more specific
than "Re: Contents of trauma-list digest..."



"Scripps Information Security" 
------------------------------------------------------------------------------
This e-mail and any files transmitted with it may contain privileged and confidential information and are intended solely for the use of the individual or entity to which they are addressed. If you are not the intended recipient or the person responsible for delivering the e-mail to the intended recipient, you are hereby notified that any dissemination or copying of this e-mail or any of its attachment(s) is strictly prohibited. If you have received this e-mail in error, please immediately notify the sending individual or entity by e-mail and permanently delete the original e-mail and attachment(s) from your computer system. Thank you for your cooperation.


==============================================================================


      ____________________________________________________________________________________
You rock. That's why Blockbuster's offering you one month of Blockbuster Total Access, No Cost.  
http://tc.deals.yahoo.com/tc/blockbuster/text5.com 
--
trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:
http://www.trauma.org/index.php?/community/


More information about the trauma-list mailing list