PMID- 37425533
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230718
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 15
IP  - 6
DP  - 2023 Jun
TI  - Comparing the Scalpel-Bougie-Tube Emergency Front-of-Neck Airway (eFONA) 
      Technique on Conventional Manikins and Ovine Larynges: Evaluating Cost, Realism, 
      and Performance in Anaesthetic Trainees.
PG  - e40040
LID - 10.7759/cureus.40040 [doi]
LID - e40040
AB  - Background Emergency front-of-neck airway (eFONA) is a crucial life-saving 
      procedure in "cannot intubate, cannot oxygenate" (CICO) situations. It is 
      essential to teach and maintain eFONA skills for healthcare providers, especially 
      anesthesiologists. This study aims to assess the effectiveness of cost-effective 
      ovine larynx models compared to conventional manikins in teaching eFONA using the 
      scalpel-bougie-tube technique to a group of anaesthesia novices and newly 
      appointed anaesthetic Fellows. Methods and study design The study was conducted 
      at Walsall Manor Hospital, a district general hospital in the Midlands, UK. 
      Participants underwent a pre-survey to assess familiarity with FONA and the 
      ability to perform a laryngeal handshake. After a lecture and demonstration, 
      participants performed two consecutive emergency cricothyrotomies on both ovine 
      models and conventional manikins, followed by a post-survey to assess their 
      confidence in performing eFONA and rate their experience using sheep larynges. 
      Results The training session significantly improved the participants' ability to 
      perform a laryngeal handshake and their confidence in performing eFONA. The 
      majority of participants rated the ovine model higher in terms of realism, 
      difficulty with penetration, difficulty in recognising landmarks, and difficulty 
      in performing the procedure. Additionally, the ovine model was more 
      cost-effective compared to conventional manikins. Conclusion Ovine models provide 
      a more realistic and cost-effective alternative to conventional manikins for 
      teaching eFONA using the scalpel-bougie-tube technique. The use of these models 
      in routine airway teaching enhances the practical skill set of anaesthesia 
      novices and newly appointed anaesthetists, better preparing them for CICO 
      situations. However, further training with objective assessment methods and 
      larger samples is needed to corroborate these findings.
CI  - Copyright (c) 2023, Abdelhamid et al.
FAU - Abdelhamid, Ahmed
AU  - Abdelhamid A
AD  - Anaesthesiology, Walsall Manor Hospital, Walsall, GBR.
FAU - Sapra, Sadhana
AU  - Sapra S
AD  - Anaesthesiology, Walsall Manor Hospital, Walsall, GBR.
LA  - eng
PT  - Journal Article
DEP - 20230606
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC10324522
OTO - NOTNLM
OT  - airway management training
OT  - anaesthesia novices
OT  - cannot intubate cannot oxygenate
OT  - cricothyrotomy
OT  - front-of-neck airway
OT  - medical education
OT  - ovine
OT  - scalpel bougie tube
OT  - simulation-based training
COIS- The authors have declared that no competing interests exist.
EDAT- 2023/07/10 06:42
MHDA- 2023/07/10 06:43
PMCR- 2023/06/06
CRDT- 2023/07/10 04:57
PHST- 2023/06/06 00:00 [accepted]
PHST- 2023/07/10 06:43 [medline]
PHST- 2023/07/10 06:42 [pubmed]
PHST- 2023/07/10 04:57 [entrez]
PHST- 2023/06/06 00:00 [pmc-release]
AID - 10.7759/cureus.40040 [doi]
PST - epublish
SO  - Cureus. 2023 Jun 6;15(6):e40040. doi: 10.7759/cureus.40040. eCollection 2023 Jun.