Hardjo Sureiyan, Palmer Lee, Haworth Mark David
UQ VETS, School of Veterinary Science, The University of Queensland, Gatton, QLD, Australia.
Veterinary Medical Director, National Association of Veterinary Emergency Medical Services, Auburn, AL, United States.
Front Vet Sci. 2021 Sep 16;8:705695. doi: 10.3389/fvets.2021.705695. eCollection 2021.
The surgical cricothyrotomy (CTT) has been recommended for emergency front of neck airway access (eFONA) during a cannot intubate, cannot oxygenate scenario for military working dogs (MWD) and civilian law enforcement working dogs (operational K9s). In prehospital and austere environments, combat medics and emergency medical service providers are expected to administer emergency medical care to working dogs and may only have emergency airway kits designed for humans at their disposal. The objective of this article is to provide a detailed description of the application of such devices in cadaver dogs and highlight potential alterations to manufacturer guidelines required for successful tube placement. The kits evaluated included the Portex® PCK, Melker universal cricothyrotomy kit and H&H® emergency cricothyrotomy kit. A novel technique for awake cricothyrotomy in the dog is also described, which can also be considered for in-hospital use, together with the open surgical method described for the H&H® kit. To the authors' knowledge, this is the first publication documenting and providing instruction on the application of commercial cricothyrotomy kits in dogs.
在无法插管、无法给氧的情况下，对于军犬（MWD）和民用执法工作犬（工作犬K9），建议采用手术环甲膜切开术（CTT）进行紧急颈部前方气道通路建立（eFONA）。在院前和简易环境中，战斗医护人员和紧急医疗服务提供者预计会为工作犬提供紧急医疗护理，且他们手头可能只有供人类使用的紧急气道套件。本文的目的是详细描述此类设备在犬类尸体上的应用，并强调成功放置导管所需对制造商指南进行的潜在调整。评估的套件包括Portex® PCK、梅尔克尔通用环甲膜切开术套件和H&H®紧急环甲膜切开术套件。还描述了一种犬类清醒状态下环甲膜切开术的新技术，该技术也可考虑用于医院内，同时还介绍了H&H®套件所采用的开放手术方法。据作者所知，这是第一份记录并提供关于商用环甲膜切开术套件在犬类应用指导的出版物。
