Success rate of prehospital emergency front-of-neck access (FONA): a systematic review and meta-analysis
Authors' conclusion
Despite being a relatively rare procedure in the prehospital setting, the success rate for FONA is high. A surgical technique for FONA appears more successful than needle techniques
Study context
- Population
- Patients of any age undergoing prehospital front-of-neck access (FONA)
- Participants
- 3,292 patients · 69 studies
- Comparison
- Surgical vs needle FONA techniques; before vs after 2017
- Outcome
- Number and success rate of prehospital FONA procedures
Methodological detailsCochrane risk of bias tool, Grading of Recommendations Assessment, Development, and Evaluation (GRADE), 33 low-quality and 36 very low-quality studies
- Cochrane risk of bias tool
- GRADE
- 33 low-quality and 36 very low-quality studies
Pooled result
As reported in the abstract
FONA success rate
FONA success rate Surgical median 100.0% · Needle median 50.0%
Pooled rate
95% CI Surgical 88.0-95.0% · Needle 28.0-76.0%
- Pooled overall FONA success rate
- 88.0% (95% CI 85.0-91.0%)
Further pooled results
Crude median success rate, before vs after 2017
- Before 2017
- 99.2%
- After 2017
- 100.0%
Original publication
Success rate of prehospital emergency front-of-neck access (FONA): a systematic review and meta-analysis. Br J Anaesth. Published 28 February 2023. doi:10.
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