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Anesth Analg 2006;103:1205-1208
© 2006 International Anesthesia Research Society
doi: 10.1213/01.ane.0000237328.94837.62

ECONOMICS, EDUCATION, AND POLICY

Educating Anesthesiology Residents to Perform Percutaneous Cricothyrotomy, Retrograde Intubation, and Fiberoptic Bronchoscopy Using Preserved Cadavers

Kevin W. Hatton, MD, Seth Price, MD, Lori Craig, MS, and Jay S. Grider, DO, PhD

From the Department of Anesthesiology, University of Kentucky Chandler Medical Center, Lexington, Kentucky.

Address correspondence and reprint requests to Kevin Hatton, MD, N-201 AB Chandler Medical Center, 800 Rose Street, Lexington, KY 40536. Address e-mail to kwhatt2{at}email.uky.edu.

Abstract

Experience with invasive airway procedures may be difficult to obtain during residency training, and anesthesiologists may therefore be hesitant to use these life-saving techniques. We designed a prospective study to determine whether using embalmed cadavers to teach percutaneous cricothyrotomy (PC), retrograde intubation (RI), and fiberoptic intubation to anesthesiology residents would improve their perceived procedural confidence and ability. After demonstration of these techniques by experienced attending physicians, residents were allowed to practice, with instructor guidance, on the cadavers. Residents completed surveys before and after the workshop about their perceived confidence using these techniques. Eighteen residents attended the lecture workshop and completed surveys. The number of residents who reported that they would use PC increased from 0% to 78% (P ≤ 0.001) and those who reported they could correctly perform PC technique increased from 17% to 94% (P ≤ 0.001). Likewise, the number of residents who reported they would use RI increased from 6% to 67% (P ≤ 0.001) and those who reported they could correctly perform RI technique increased from 28% to 83% (P ≤ 0.001). There were no significant changes in residents' confidence with fiberoptic intubation. The results of this study demonstrate an improvement in the confidence of anesthesiology residents in performing PC and RI after training using embalmed cadavers.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2006 by the International Anesthesia Research Society.