Surgicric I, II, III
3 techniques – 3 cricothyrotomy sets
The Surgicric is a cricothyrotomy set to maintain ventilation in case of obstruction of the upper airway.
With the Surgicric I VBM offers a cricothyrotomy set to perform the Rapid Four-Step Technique, Surgicric II is applied to the classical surgical technique and Surgicric III allows a cricothyrotomy according to the Seldinger technique.
The main feature of Surgicric is the special combination of tube and dilator. The locking mechanism and the soft tip maximise patient safety and reduce the risk of injury.
Cricothyrotomy
Surgical airway is the ultima ratio for the unsuccessful arm of the emergency pathway. Identification of the "cannot intubate – cannot oxygenate" scenario should result in immediate consideration of surgical airway access. Delays in achieving airway control and oxygenation will lead to hypoxic brain injury.
The incidence level of cricothyrotomy is estimated at approximately 1% of all emergency airway cases.
In order to master a cricothyrotomy in an emergency successfully, training on simulators (see page 33) seems to be indispensable.
VBM provides specific devices for every scenario of the surgical airway, like:
- Surgical airway with Surgicric I and II
- Narrow bore cannula with Jet-Ventilation Catheters and Manujet III
- Wide bore cannula with Quicktrach I,II and Surgicric III
Features
Atraumatic
Soft dilator tip, thus avoiding injury to the posterior tracheal wall. Smooth transition from dilator to the tracheal tube.
Position check
Checking the position of the tracheal tube thanks to aspiration through dilator.
Patient Safety
The thin-walled, low pressure cuff guarantees a perfect seal, allows efficient ventilation and protects against aspiration.
Locking mechanism
The unique locking mechanism prevents accidental dislocation of the dilator from the tracheal tube during insertion.
Individually adjustable
The specially designed tracheal tube is longer than a standard tracheostomy tube and with the adjustable flange allows individual adaptation to the anatomical conditions of the patient.
Unique instrument packing systems
- Clear overview of all components
- Sterile application in any environment
- Small pack size, making it ideal for emergency bags
Surgicric I Set
Rapid Four-Step Technique
Scalpel #20, Syringe 10 ml, 6.0 mm cuffed tracheal tube with dilator, Necktape, Extension tubing, Tracheal hook.
Surgicric II Set
Classic surgical technique
Scalpel #11, Syringe 10 ml, 6.0 mm cuffed tracheal tube with dilator, Necktape, Extension tubing, Tracheal hook, Blunt scissors, Speculum.
Surgicric III Set
Seldinger technique
Scalpel #11, Syringe 10 ml, 6.0 mm cuffed tracheal tube with dilator, Necktape for tracheal tube, Necktape for introducer needle, Extension tubing, Introducer needle, Guidewire.
Downloads and further information
Vimeo Videolink: Usage of Surgicric I
Vimeo Videolink: Usage of Surgicric II
Vimeo Videolink: Usage of Surgicric III
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Surgicric I
Brofeldt, BT et al: An easy cricothyrotomy approach: the rapid four-step technique. Acad Emerg Med 1996; 3: 1060-1063 Henderson, JJ et al: Difficult Airway Society guidelines for management of the unanticipated difficult intubation. Anaesthesia 2004; 59: 675-694.
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Surgicric II
Helm, M. et al: Chirurgische Atemwegssicherung in der präklinischen Notfallmedizin. Notfall Rettungsmed 2011; 14: 29-36 Hess, T. et al: Invasive Notfalltechniken – Koniotomie. Anästhesiol Intensivmed Notfallmed Schmerzther 2014; 49: 230-236.
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Surgicric III
Helm, M. et al: Surgical approach in difficult airway management. Best Practice Res ClinAnaesth 2005, 19: 623-640 Eisenburger, P. et al.: Comparison of conventional surgical versus seldinger technique emergency cricothyroidotomy performed by inexperienced clinicians. Anaesthesiology 2000; 92: 687-690.
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