Tracheostomy Apply by Emergency Residents; Airway Management Animal Simulation

Introduction: Tracheostomy means making an opening below the larynx. This procedure is undertaken to open the upper air way obstruction. Yet, the surgical tracheostomy is the gold standard method of this procedure so knowing the steps of this procedure, is so critical for the medical team members. Method: On a clinical trial study on animal models, 20 billy goats (makoui) were selected. The study was performed base on approved protocols of animal care and use of laboratory animals. All the emergency residents of Tabriz University emergency department were asked to perform surgical tracheostomy on the goats. They do classic tracheostomy. The duration of the procedure was calculated from the beginning of making incision until conformation of intubation and the collected data was analyzed by SPSS 15.0 software and descriptive statistics tests. Result: Our study was done on 20 gouts and all the cases were successfully intubated by tracheostomy technique and after inserting the tracheostomy tube completely, ventilation was started. The average duration of the whole procedure, from beginning of making incision until intubation conformation, was calculated 3.9±0.18 minutes. Conclusion: The duration of tracheostomy is an important factor in succeed of the procedure and with proper training of the skills and having enough experience, this procedure will lead to lesser complications and more advantages over other methods.