SAS SCALPEL Vs SCALPEL NECK RESCUE resources

Below are resources referred to in the Safe Airway Society plenary session on Neck Rescue at SAS2024.

scalpel-finger-bougie technique

Videos:

Demonstration of scalpel-finger-bougie neck rescue technique on mannikin

articles

Bougie-assisted cricothyroidotomy: Delphi-derived essential steps for the novice learner. 2018

‘Stab & Twist’ (aka scalpel-bougie) technique:

Videos

Demonstration of ‘stab & twist’ (aka scalpel-bougie) neck rescue technique on a mannikin

articles

The formulation and introduction of a ‘can’t intubate, can’t ventilate’ algorithm into clinical practice. 2009

Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults.

Time to oxygenation for cannula- and scalpel-based techniques for emergency front-of-neck access: a wet lab simulation using an ovine model. 2019 Illustrates significant failure rate of ‘stab & twist’ technique, predominantly due to paratracheal placement.

Plan D: cannula first, or scalpel only? 2015 (Outlines problems with ‘stab & twist’ approach in the deep airway)

Cric-KNIFE & CRIc-KEY:

Videos

ARTICLES

The Cric-Key™ and Cric-Knife™: A Combined Tube-Introducer and Scalpel-Hook Open Cricothyrotomy System