Palpation Versus Ultrasonography for Identifying the Cricothyroid Membrane in Case of a Laterally Deviated Larynx: A Randomized Trial
Primary resultResult — go to the resultRelative risk 21.8 95% CI 3.1–151.0Authors' 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
| Outcome | Ultrasound | Palpation | RR (95% CI) | |
|---|---|---|---|---|
| Tracheal midline position in the sagittal plane identified correctly | 85.7% | 55.2% | 1.6 (1.1–2.2) | |
| 0.512Relative risk (log scale) |
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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