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Open Access 01-04-2021 | Original Article

Dual-wavelength fiber-optic technique to assist needle cricothyroidotomy

Authors: Chien-Ching Lee, Chia-Chun Chuang, Bo-Cheng Lai, Chin-Li Lu, Edmund Cheung So, Bor-Shyh Lin

Published in: Lasers in Medical Science | Issue 3/2021

Abstract

The traditional needle cricothyroidotomy procedure is performed blindly without any medical equipment. Complications including posterior tracheal wall perforation, accidental vessel puncture, and missed tracheal puncture are reported. Therefore, we proposed a dual-wavelength fiber-optic technique based on the technique of near-infrared spectroscopy to assist operators performing needle cricothyroidotomy in a swine model. We embedded optical fibers in a 16-gauge intravenous needle catheter. Real-time data were displayed on an oscilloscope, and we used the program to analyze the data immediately. The change of optical density corresponding to 690-nm and 850-nm wavelengths and hemoglobin parameters (HbO₂ and Hb concentrations) was analyzed immediately using the program in the laptop. Unique and significant optical differences were presented in this experiment. We could easily identify every different tissue by the change of optical density corresponding to 690-nm and 850-nm wavelengths and hemoglobin parameters (HbO₂ and Hb concentrations). Statistical method (Kruskal-Wallis H test) was used to compare differences in tissues at each time-point, respectively. The p values in every tissue in optical density change corresponding to 690 nm and 850 nm were all < 0.001. Furthermore, the p values in every tissue in Hb and HbO₂ were also all < 0.001. The results were statistically significant. This is the first and novel study to introduce a dual-wavelength embedded fibers into a standard cricothyroidotomy needle. This proposed system might be helpful to provide us real-time information of the advanced needle tip to decrease possible complications.

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Title: Dual-wavelength fiber-optic technique to assist needle cricothyroidotomy
Authors: Chien-Ching Lee
Chia-Chun Chuang
Bo-Cheng Lai
Chin-Li Lu
Edmund Cheung So
Bor-Shyh Lin
Publication date: 01-04-2021
Publisher: Springer London
Published in: Lasers in Medical Science / Issue 3/2021
Print ISSN: 0268-8921
Electronic ISSN: 1435-604X
DOI: https://doi.org/10.1007/s10103-020-03065-4

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Springer Medicine

Dual-wavelength fiber-optic technique to assist needle cricothyroidotomy

Abstract

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Springer Medicine

Abstract

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