I read with interest the case report number 2013-10 in the October NEWSLETTER by Dr. Dutton, regarding use of a knife or needle in emergency airway management. The only reason there is any debate about this matter is that most anesthesia personal have no real-life experience with either technique, and hence have no way to judge which is better. However, in a life-threatening airway obstruction, there is no question which is better. An emergency cricothyrotomy is much quicker, easier, safer and more effective than any needle-based technique. I can state with confidence that there is no place in emergency airway management for needle-based attempts to establish ventilation. It should be deleted from the ASA Difficult Airway Algorithm. I have participated in seven cricothyrotomies in emergency airway situations, and all of the patients left the hospital without any neurological injury...
Skip Nav Destination
Letter to the Editor| February 2014
Ditch the Needle – Teach the Knife
ASA Newsletter February 2014, Vol. 78, 63.
- Views Icon Views
- Share Icon Share
- Search Site
C. Phillip Larson; Ditch the Needle – Teach the Knife. ASA Newsletter 2014; 78:63
Download citation file: