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Alexander Schmidt, Visiting

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Especialidades médicas y/o especialidades quirúrgicas

Anesthesia

Trabajo y educación

Educación

Justus Liebig Universitat, giessen, Germany, 5/10/2007

Primeros años de residencia

Kantonsspital St Gallen Surgery Training, St Gallen, Switzerland, 6/30/2008

Últimos años de residencia

Kantonsspital St Gallen Anesthesiology Training, St Gallen, Switzerland, 7/31/2011

Subespecialidad

University Children's Hospital Zurich, Zurich, Switzerland, 9/30/2012

University Hospital Zurich Anesthesiology Training, Zurich, Switzerland, 11/30/2014

Certificado(s) de especialidad

Anesthesia, Swiss Medical Federation FMH

Todo Publicaciones

Rabbit training model for establishing an emergency front of neck airway in children. British journal of anaesthesia Both, C. P., Diem, B. n., Alonso, E. n., Kemper, M. n., Weiss, M. n., Schmidt, A. R., Deisenberg, M. n., Thomas, J. n. 2021

Abstract

A 'cannot intubate, cannot oxygenate' (CICO) situation is rare in paediatric anaesthesia, but can always occur in children under certain emergency situations. There is a paucity of literature on specific procedures for securing an emergency invasive airway in children younger than 6 yr. A modified emergency front of neck access (eFONA) technique using a rabbit cadaver model was developed to teach invasive airway protection in a CICO situation in children.After watching an instructional video of our eFONA technique (tracheotomy, intubation with Frova catheter over which a tracheal tube is inserted), 29 anaesthesiologists performed two separate attempts on rabbit cadavers. The primary outcome was the success rate and the performance time overall and in subgroups of trained and untrained participants.The overall success rate across 58 tracheotomies was 95% and the median performance time was 67 s (95% confidence interval [CI], 56-76). Performance time decreased from the first to the second attempt from 72 s (95% CI, 57-81) to 61 s (95% CI, 50-81). Performance time was 59 s (95% CI, 49-79) for untrained participants and 72 s (95% CI, 62-81) for trained participants. Clinical experience and age of the participants was not correlated with performance time, whereas the length of the tracheotomy incision showed a significant correlation (P=0.006).This eFONA training model for children facilitates rapid skill acquisition under realistic anatomical conditions to perform an emergency invasive airway in children younger than 2 yr.

View details for DOI 10.1016/j.bja.2020.12.032

View details for PubMedID 33526261