Obesity Clinical Trial
Official title:
Evaluation and Comparison of a Modified Skalpell-Bougie-technique for Cricothyreotomie: Comparison of a Conventional and a Realistic Self-modified Model
According to the recently published german guidelines for the prehospital airway management
regular training for cricothyroidotomy is recommended.
Even though participants prefer animal or cadaver trainingmodels, it is not possible to
perform this comprehensive for a large number of participants due to organizational
requirements like food hygiene, limited shelf-life and preparation time and expense.
Therefore the investigators modified an available for purchase cricothyroidotomy trainer (the
AirSim Combo X) with everyday suitable and cost-effective utensils.
As a control group the investigators used a conventional simple plastic model.
Obesity is an important risk factor for a cannot intubate cannot ventilate situation. Obese
patients are more likely to require a cricothyroidotomy, due to failure rates of routine
airway management. Relevant landmarks can be difficult to palpate. And the greater depth of
the soft tissues overlying the larynx. Due to this reasons the investigators modified the
adult intubation manikin AirSim Combo X with a drunk baby diaper to simulate the neck of an
obese patient.
As a further modification the investigators prepared freezer bags filled with faked blood to
simulate a possible bleeding.
35 medial doctors of the department of anesthesiology and 35 paramedics are going to perform
two cricothyroidotomies in each model.
For the one time participants use the ScalpelCric Set and for the other time participants use
the ScalpelCric Set plus a speculum.
Primary endpoint is the evaluation of reality of the two different manikins.
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