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Mon Apr 14 16:40:31 BST 2008

I actually had the same problem with a patient with massive facial  
trauma, and in addition to the lack of seal, blood would splutter from  
his face everytime we bagged him. However I did notice the new Cook  
kits and they do have a cuff at the end. Still as a surgeon I do  
prefer the old fashion way of performing the cric. and even using a  
number 6 ETT if I don't have a cric tube.

Abdullah Al- Harthy

On 14-Apr-08, at 5:36 PM, Sanjay Gupta MD wrote:

> Is this the kit in which the cric tube has no balloon.
> If it is, then at least for the actual airway I would
> either use a size 6 ET tube or tracheostomy tube.  I
> have faced this situation once, where I used the
> supplied cric tube and although I could ventilate, the
> patient stayed hypoxic because of the air leak.
>
>
> Sanjay
>
>
>
> --- Ivan Hronek <ivanhronek at yahoo.com> wrote:
>
>> Can people share their experiences with
>> cricothyrotomies with the Airstat, Quicktrach,
>> Melker Seldinger technique etc..I found (in the one
>> that I did) one has no time in a
>> failure-to-intubate/failure-to-ventilate situation
>> in an anoxic patient to play with the Seldinger
>> tech(Melker kit) and I am thinking the one-move
>> access that the "catheter-over-needle" techniques
>> allow is to be used.
>>
>> 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
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>> 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: Marc Matthews - MedPro MMC X
>> <Marc_Matthews at medprodoctors.com>
>> To: "Trauma & Critical Care mailing list"
>> <trauma-list at trauma.org>; ccm-l at ccm-l.org
>> Sent: Thursday, April 3, 2008 6:44:28 AM
>> Subject: RE: Cric kits now & then...
>>
>> FYI . . . Another product.  I have seen this work.
>> Bought one for all of my trauma and critical care
>> surgeons.
>>
>> http://airstat.org/
>>
>> MRM
>>
>>
>> CONFIDENTIALITY NOTICE: This message and any of the
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>> CONFIDENTIAL MATERIALS PROTECTED under ARS § 36-445,
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>> Improvement Act of 2005
>>
>> -----Original Message-----
>> From: trauma-list-bounces at trauma.org
>> [mailto:trauma-list-bounces at trauma.org] On Behalf Of
>> Ivan Hronek
>> Sent: Thursday, April 03, 2008 12:17 AM
>> To: Trauma &amp; Critical Care mailing list;
>> ccm-l at ccm-l.org
>> Subject: Cric kits now & then...
>>
>>
>>
>>
>> What striked me was how similar these principles
>> still are...
>> this is a picture of the currently available cric
>> kit...
>>
> http://www.statkit.com/index.cfm?fuseaction=product&itemnum=1195
>>
>> 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: Ivan Hronek <ivanhronek at yahoo.com>
>> To: ccm-l at ccm-l.org; trauma-list at trauma.org
>> Sent: Wednesday, April 2, 2008 11:49:11 PM
>> Subject: Cric kits now & then...
>>
>>
>>
>>
>>
>> Rusch QuickTrach Emergency Cricothyrotomy - 4.0mm
>> currently used device
>>
>>
>>
>>
> http://www.adair.at/eng/museum/equipment/surgery/ 
> ueckermannobject01.htm
>> Ueckermann Cricothyrotomy Trocar (Manufacturer
>> Unknown, Object Number 1)
>>
>>
>> This section is contributed by Ernst Zadrobilek, MD,
>> (Vienna, Austria), and will be regularly updated to
>> take account of comments on this version.
>>
>> Last updated: April 28, 2002.
>>
>>
>> Ueckermann cricothyrotomy trocar with metal
>> cricothyrotomy tube (see Figures 1 to 4) from the
>> Private Collection of Jean-Bernard Cazalaa (Paris,
>> France). The manufacturer of this cricothyrotomy
>> trocar is unknown.
>>
>>
>>
>>
>> Figure 1: Ueckermann cricothyrotomy trocar with
>> metal cricothyrotomy tube. Reproduced by courtesy of
>> the Private Collection of Jean-Bernard Cazalaa
>> (Paris, France).
>>
>>
>>
>>
>> Figure 2: Ueckermann cricothyrotomy trocar with
>> metal cricothyrotomy tube. Reproduced by courtesy of
>> the Private Collection of Jean-Bernard Cazalaa
>> (Paris, France).
>>
>>
>>
>>
>> Figure 3: Ueckermann cricothyrotomy trocar with
>> metal cricothyrotomy tube. Reproduced by courtesy of
>> the Private Collection of Jean-Bernard Cazalaa
>> (Paris, France).
>>
>>
>>
>>
>> Figure 4: Ueckermann cricothyrotomy trocar with
>> metal cricothyrotomy tube. Reproduced by courtesy of
>> the Private Collection of Jean-Bernard Cazalaa
>> (Paris, France).
>>
>>
>>
>> Webmaster: Ernst Zadrobilek, MD.
>> URL: http://www.adair.at
>> Email address: ernst.zadrobilek at adair.at
>>
>>
>>
>> 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.
>>
>>
>>
>>
>> Looking for last minute shopping deals? Find them
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>>
>>
>>
>>
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>>
> ____________________________________________________________________________________
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>>
> ____________________________________________________________________________________
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>
>
> Sanjay Gupta
> Tel: 412 335 6304
>
>
>       
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