PMID- 35441035
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220421
IS  - 2052-8817 (Electronic)
IS  - 2052-8817 (Linking)
VI  - 9
IP  - 1
DP  - 2022 Jan-Dec
TI  - Adverse events of emergency surgical front of neck airway access: an 
      observational descriptive study.
PG  - e750
LID - 10.1002/ams2.750 [doi]
LID - e750
AB  - AIM: Emergency front of neck access (eFONA), such as scalpel cricothyroidotomy, 
      is a rescue technique used to open the airway during "cannot intubate, cannot 
      oxygenate" situations. However, little is known about the adverse events 
      associated with the procedure. This study aimed to describe the adverse events 
      that occur in patients who undergo eFONA and their management. METHODS: This 
      retrospective observational cohort study included emergency patients who 
      underwent eFONA between April 2012 and August 2020. We described the patients' 
      characteristics and the adverse events during or immediately after the procedure. 
      RESULTS: Among 75,529 emergency patients during the study period, 31 (0.04%) 
      underwent an eFONA. The median (interquartile range) age was 53 (39-67) years, 
      and 23 patients (74.2%) were men. Of all cases, 13 (41.9%) experienced adverse 
      events. Of these, three cases (23.2%) were cephalad misplacement of the 
      intubation tube, one case (7.7%) was cuff injury, one case (7.7%) was tube 
      obstruction due to vomiting, and one case (7.7%) was tube kink. In cases with 
      these adverse events, the initial attempt of eFONA failed, and alternative 
      immediate action was necessary to secure the airway. CONCLUSION: This 
      single-center retrospective observational study described several adverse events 
      of eFONA. In particular, it is important to understand the possible 
      life-threatening adverse events that lead to failure of securing airways such as 
      cephalad displacement, tube obstruction, and tube kink and respond promptly to 
      ensure a secure definitive airway for patients' safety.
CI  - (c) 2022 The Authors. Acute Medicine & Surgery published by John Wiley & Sons 
      Australia, Ltd on behalf of Japanese Association for Acute Medicine.
FAU - Okada, Asami
AU  - Okada A
AUID- ORCID: 0000-0001-8112-1397
AD  - Department of Emergency Medicine and Critical Care Japanese Red Cross Society 
      Kyoto Daini Hospital Kyoto Japan.
FAU - Okada, Yohei
AU  - Okada Y
AUID- ORCID: 0000-0002-2266-476X
AD  - Preventive Services, School of Public Health Kyoto University Japan.
AD  - Department of Primary Care and Emergency Medicine, Graduate School of Medicine 
      Kyoto University Kyoto Japan.
FAU - Kandori, Kenji
AU  - Kandori K
AUID- ORCID: 0000-0003-0026-7437
AD  - Department of Emergency Medicine and Critical Care Japanese Red Cross Society 
      Kyoto Daini Hospital Kyoto Japan.
FAU - Ishii, Wataru
AU  - Ishii W
AD  - Department of Emergency Medicine and Critical Care Japanese Red Cross Society 
      Kyoto Daini Hospital Kyoto Japan.
FAU - Narumiya, Hiromichi
AU  - Narumiya H
AD  - Department of Emergency Medicine and Critical Care Japanese Red Cross Society 
      Kyoto Daini Hospital Kyoto Japan.
FAU - Iizuka, Ryoji
AU  - Iizuka R
AD  - Department of Emergency Medicine and Critical Care Japanese Red Cross Society 
      Kyoto Daini Hospital Kyoto Japan.
LA  - eng
PT  - Journal Article
DEP - 20220415
PL  - United States
TA  - Acute Med Surg
JT  - Acute medicine & surgery
JID - 101635464
PMC - PMC9012838
OTO - NOTNLM
OT  - Airway complication
OT  - CICO
OT  - airway management
OT  - cricothyroidotomy
OT  - difficult airway
OT  - eFONA
EDAT- 2022/04/21 06:00
MHDA- 2022/04/21 06:01
PMCR- 2022/04/15
CRDT- 2022/04/20 05:55
PHST- 2021/12/14 00:00 [received]
PHST- 2022/03/29 00:00 [accepted]
PHST- 2022/04/20 05:55 [entrez]
PHST- 2022/04/21 06:00 [pubmed]
PHST- 2022/04/21 06:01 [medline]
PHST- 2022/04/15 00:00 [pmc-release]
AID - AMS2750 [pii]
AID - 10.1002/ams2.750 [doi]
PST - epublish
SO  - Acute Med Surg. 2022 Apr 15;9(1):e750. doi: 10.1002/ams2.750. eCollection 2022 
      Jan-Dec.