Heymans Frédéric, Dulguerov Pavel
Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, Département des neurosciences cliniques, HUG, 1211 Genève 14.
Rev Med Suisse. 2016 Oct 5;12(533):1658-1660.
In case of impossible intubation /oxygenation because of an upper airways obstruction, a cricothyrotomy is indicated. It is a relative simple and safe procedure that may be life saving. A blade, a tube and one's index finger are the only tools needed. The procedure can be done anywhere and every physician should be able to perform it. Several devices have been developed to try to improve it's success rate ; on the contrary, they render the task more complicated and lead to double failure rates with associated lesions, as described in our comparative study. The aim of this article is to recall the technique and make doctors that are not familiar with the use of a knife feel more confident. We emphasize on the use of a finger (index) to facilitate the procedure.
如果由于上呼吸道梗阻而无法进行插管/给氧，则应行环甲膜切开术。这是一种相对简单且安全的手术，可能会挽救生命。所需的工具仅为一把刀片、一根导管和食指。该手术可在任何地方进行，每位医生都应能够实施。已经开发了几种设备来试图提高其成功率；相反，正如我们的比较研究中所描述的，它们使操作更加复杂，并导致伴有相关损伤的双重失败率。本文的目的是回顾该技术，并让不熟悉使用手术刀的医生更有信心。我们强调使用食指（示指）来辅助手术。
