Prehospital Emergency Cricothyrotomy in Dogs Part 1: Experiences With Commercial Cricothyrotomy Kits

The surgical cricothyrotomy (CTT) has been recommended for emergency front of neck airway access (eFONA) during a cannot intubate, cannot oxygenate scenario for military working dogs (MWD) and civilian law enforcement working dogs (operational K9s). In prehospital and austere environments, combat me...

Full description

Bibliographic Details
Main Authors: Sureiyan Hardjo, Lee Palmer, Mark David Haworth
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-09-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fvets.2021.705695/full
_version_ 1819136354622111744
author Sureiyan Hardjo
Lee Palmer
Mark David Haworth
author_facet Sureiyan Hardjo
Lee Palmer
Mark David Haworth
author_sort Sureiyan Hardjo
collection DOAJ
description The surgical cricothyrotomy (CTT) has been recommended for emergency front of neck airway access (eFONA) during a cannot intubate, cannot oxygenate scenario for military working dogs (MWD) and civilian law enforcement working dogs (operational K9s). In prehospital and austere environments, combat medics and emergency medical service providers are expected to administer emergency medical care to working dogs and may only have emergency airway kits designed for humans at their disposal. The objective of this article is to provide a detailed description of the application of such devices in cadaver dogs and highlight potential alterations to manufacturer guidelines required for successful tube placement. The kits evaluated included the Portex® PCK, Melker universal cricothyrotomy kit and H&H® emergency cricothyrotomy kit. A novel technique for awake cricothyrotomy in the dog is also described, which can also be considered for in-hospital use, together with the open surgical method described for the H&H® kit. To the authors' knowledge, this is the first publication documenting and providing instruction on the application of commercial cricothyrotomy kits in dogs.
first_indexed 2024-12-22T10:33:39Z
format Article
id doaj.art-0e7bc835c3e441a6aafe915409e42709
institution Directory Open Access Journal
issn 2297-1769
language English
last_indexed 2024-12-22T10:33:39Z
publishDate 2021-09-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Veterinary Science
spelling doaj.art-0e7bc835c3e441a6aafe915409e427092022-12-21T18:29:15ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692021-09-01810.3389/fvets.2021.705695705695Prehospital Emergency Cricothyrotomy in Dogs Part 1: Experiences With Commercial Cricothyrotomy KitsSureiyan Hardjo0Lee Palmer1Mark David Haworth2UQ VETS, School of Veterinary Science, The University of Queensland, Gatton, QLD, AustraliaVeterinary Medical Director, National Association of Veterinary Emergency Medical Services, Auburn, AL, United StatesUQ VETS, School of Veterinary Science, The University of Queensland, Gatton, QLD, AustraliaThe surgical cricothyrotomy (CTT) has been recommended for emergency front of neck airway access (eFONA) during a cannot intubate, cannot oxygenate scenario for military working dogs (MWD) and civilian law enforcement working dogs (operational K9s). In prehospital and austere environments, combat medics and emergency medical service providers are expected to administer emergency medical care to working dogs and may only have emergency airway kits designed for humans at their disposal. The objective of this article is to provide a detailed description of the application of such devices in cadaver dogs and highlight potential alterations to manufacturer guidelines required for successful tube placement. The kits evaluated included the Portex® PCK, Melker universal cricothyrotomy kit and H&H® emergency cricothyrotomy kit. A novel technique for awake cricothyrotomy in the dog is also described, which can also be considered for in-hospital use, together with the open surgical method described for the H&H® kit. To the authors' knowledge, this is the first publication documenting and providing instruction on the application of commercial cricothyrotomy kits in dogs.https://www.frontiersin.org/articles/10.3389/fvets.2021.705695/fullmilitary working dogsoperational K9CICOintubationcricothyrotomymelker
spellingShingle Sureiyan Hardjo
Lee Palmer
Mark David Haworth
Prehospital Emergency Cricothyrotomy in Dogs Part 1: Experiences With Commercial Cricothyrotomy Kits
Frontiers in Veterinary Science
military working dogs
operational K9
CICO
intubation
cricothyrotomy
melker
title Prehospital Emergency Cricothyrotomy in Dogs Part 1: Experiences With Commercial Cricothyrotomy Kits
title_full Prehospital Emergency Cricothyrotomy in Dogs Part 1: Experiences With Commercial Cricothyrotomy Kits
title_fullStr Prehospital Emergency Cricothyrotomy in Dogs Part 1: Experiences With Commercial Cricothyrotomy Kits
title_full_unstemmed Prehospital Emergency Cricothyrotomy in Dogs Part 1: Experiences With Commercial Cricothyrotomy Kits
title_short Prehospital Emergency Cricothyrotomy in Dogs Part 1: Experiences With Commercial Cricothyrotomy Kits
title_sort prehospital emergency cricothyrotomy in dogs part 1 experiences with commercial cricothyrotomy kits
topic military working dogs
operational K9
CICO
intubation
cricothyrotomy
melker
url https://www.frontiersin.org/articles/10.3389/fvets.2021.705695/full
work_keys_str_mv AT sureiyanhardjo prehospitalemergencycricothyrotomyindogspart1experienceswithcommercialcricothyrotomykits
AT leepalmer prehospitalemergencycricothyrotomyindogspart1experienceswithcommercialcricothyrotomykits
AT markdavidhaworth prehospitalemergencycricothyrotomyindogspart1experienceswithcommercialcricothyrotomykits