The Fourth National Audit Project of The Royal College of Anaestetist and Difficult Airway Society (NAP4) has supplied us with an unique opportunity to analyse our airway management practices. Some of it touches on things recently talked about on this blog. Crikes!

(Read about ThomasD and his first surgical airway here.)

In NAP4 there are some interesting numbers regarding success rates for surgical versus cannulae techniques. In 60% of documented cannulae cricothyroidotomies failed. In contrast, all surgical cricoidothomies achieved tracheal access.

Those numbers strengthens our own view that cannula-over-trocar or seldinger techniques has no place in emergency airway rescue.

This is not exactly news. So why do we every day meet perfectly sensible people who believe needle- and percutaneous techniques are great?

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