Airway management

Palpation Versus Ultrasonography for Identifying the Cricothyroid Membrane in Case of a Laterally Deviated Larynx: A Randomized Trial

Anesth AnalgPublished Randomised controlled trial

Primary resultResult — go to the resultRelative risk 21.8 95% CI 3.1–151.0

Authors' conclusion

Identification of the cricothyroid membrane in a model of an obese neck with midline deviation of the trachea was more often successful with ultrasound compared to palpation.

Study context

Population
Anesthesiologists and anesthesiology residents, silicone model of an obese neck with laterally deviated trachea
Participants
57 participants
Comparison
Ultrasound vs palpation for identifying the cricothyroid membrane
  • Ultrasoundn = 28
  • Palpationn = 29reference
Primary endpoint
Correct identification of the cricothyroid membrane
Methodological detailsmanikin/simulation study (silicone neck models)
  • Manikin/simulation study (silicone neck models)

Primary result

As reported in the abstract

Relative risk

21.8

95% CI 3.1–151.0

Events by treatment group

Ultrasound vs Palpation
RR 21.8 (95% CI 3.1–151.0)

Further findings

OutcomeUltrasoundPalpationRR (95% CI)
Tracheal midline position in the sagittal plane identified correctly85.7%55.2%1.6 (1.1–2.2)

Original publication

Palpation Versus Ultrasonography for Identifying the Cricothyroid Membrane in Case of a Laterally Deviated Larynx: A Randomized Trial. Anesth Analg. Published 31 January 2024. doi:10.1213/ane.0000000000006867

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