Airflow efficacy of ballpoint pen tubes: a consideration for use in bystander cricothyrotomy
ObjectiveTo examine the suitability of commonly available ballpoint pens as a substitute emergency tracheostomy tube.Methodscommonly available ballpoint pens were examined and compared against two standard cricothyroidotomy sets. The pens were evaluated for dimensions, speed of construction of a tem...
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| Veröffentlicht in: | Emergency medicine journal : EMJ 2010-04, Vol.27 (4), p.317-320 |
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| container_title | Emergency medicine journal : EMJ |
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| creator | Owens, David Greenwood, Ben Galley, Alistair Tomkinson, Alun Woolley, Sarah |
| description | ObjectiveTo examine the suitability of commonly available ballpoint pens as a substitute emergency tracheostomy tube.Methodscommonly available ballpoint pens were examined and compared against two standard cricothyroidotomy sets. The pens were evaluated for dimensions, speed of construction of a temporary tracheostomy tube and airway resistance with differing flow rates.ResultsInternal diameters of the pens varied considerably. Time taken to construct a temporary tube ranged from 3 to 170 s, and in the majority of pens the airway resistance increased dramatically as the airflow rate increased.ConclusionContrary to popular belief, the majority of ballpoint pens appear unsuitable for use as a substitute tracheostomy tube. In this study only two pens fulfilled the criteria for use: the Baron retractable ballpoint and the BIC soft feel Jumbo. |
| doi_str_mv | 10.1136/emj.2008.069294 |
| format | Article |
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The pens were evaluated for dimensions, speed of construction of a temporary tracheostomy tube and airway resistance with differing flow rates.ResultsInternal diameters of the pens varied considerably. Time taken to construct a temporary tube ranged from 3 to 170 s, and in the majority of pens the airway resistance increased dramatically as the airflow rate increased.ConclusionContrary to popular belief, the majority of ballpoint pens appear unsuitable for use as a substitute tracheostomy tube. In this study only two pens fulfilled the criteria for use: the Baron retractable ballpoint and the BIC soft feel Jumbo.</description><identifier>ISSN: 1472-0205</identifier><identifier>EISSN: 1472-0213</identifier><identifier>DOI: 10.1136/emj.2008.069294</identifier><identifier>PMID: 20385693</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</publisher><subject>Airway ; Airway management ; Airway Obstruction - prevention & control ; Airway Resistance ; ballpoint pens ; Construction ; cricothyroidotomy ; Emergencies ; emergency ; emergency care system ; Equipment Design ; Humans ; Laryngeal Muscles - injuries ; Medical equipment ; nursing ; Ostomy ; Pens & pencils ; prehospital ; prehospital care ; Studies ; temporary ; Time Factors ; Tracheostomy - instrumentation ; Tracheostomy - methods ; trauma ; Treatment Outcome ; Ventilation</subject><ispartof>Emergency medicine journal : EMJ, 2010-04, Vol.27 (4), p.317-320</ispartof><rights>2010, Published by the BMJ Publishing Group Limited For permission to use, (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>Copyright: 2009 (c) 2010, Published by the BMJ Publishing Group Limited For permission to use, (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b397t-6748f04823373caee90f41e36b4698d572cf5874a7110cf0a14b05425536306a3</citedby><cites>FETCH-LOGICAL-b397t-6748f04823373caee90f41e36b4698d572cf5874a7110cf0a14b05425536306a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://emj.bmj.com/content/27/4/317.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://emj.bmj.com/content/27/4/317.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,776,780,3183,23550,27901,27902,77342,77373</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20385693$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Owens, David</creatorcontrib><creatorcontrib>Greenwood, Ben</creatorcontrib><creatorcontrib>Galley, Alistair</creatorcontrib><creatorcontrib>Tomkinson, Alun</creatorcontrib><creatorcontrib>Woolley, Sarah</creatorcontrib><title>Airflow efficacy of ballpoint pen tubes: a consideration for use in bystander cricothyrotomy</title><title>Emergency medicine journal : EMJ</title><addtitle>Emerg Med J</addtitle><description>ObjectiveTo examine the suitability of commonly available ballpoint pens as a substitute emergency tracheostomy tube.Methodscommonly available ballpoint pens were examined and compared against two standard cricothyroidotomy sets. The pens were evaluated for dimensions, speed of construction of a temporary tracheostomy tube and airway resistance with differing flow rates.ResultsInternal diameters of the pens varied considerably. Time taken to construct a temporary tube ranged from 3 to 170 s, and in the majority of pens the airway resistance increased dramatically as the airflow rate increased.ConclusionContrary to popular belief, the majority of ballpoint pens appear unsuitable for use as a substitute tracheostomy tube. In this study only two pens fulfilled the criteria for use: the Baron retractable ballpoint and the BIC soft feel Jumbo.</description><subject>Airway</subject><subject>Airway management</subject><subject>Airway Obstruction - prevention & control</subject><subject>Airway Resistance</subject><subject>ballpoint pens</subject><subject>Construction</subject><subject>cricothyroidotomy</subject><subject>Emergencies</subject><subject>emergency</subject><subject>emergency care system</subject><subject>Equipment Design</subject><subject>Humans</subject><subject>Laryngeal Muscles - injuries</subject><subject>Medical equipment</subject><subject>nursing</subject><subject>Ostomy</subject><subject>Pens & pencils</subject><subject>prehospital</subject><subject>prehospital care</subject><subject>Studies</subject><subject>temporary</subject><subject>Time Factors</subject><subject>Tracheostomy - instrumentation</subject><subject>Tracheostomy - methods</subject><subject>trauma</subject><subject>Treatment Outcome</subject><subject>Ventilation</subject><issn>1472-0205</issn><issn>1472-0213</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkMuLFDEQh4Mo7kPP3iTgQVjo2Urn7W0Z36568XERQjqTYMbuzpik0f7v7aXXOXjxVAX11a-KD6FHBDaEUHHph_2mBVAbELrV7A46JUy2DbSE3j32wE_QWSl7AMI1U_fRSQtUcaHpKfp2FXPo0y_sQ4jOuhmngDvb94cUx4oPfsR16nx5hi12aSxx57OtMY04pIyn4nEccTeXasdlgl2OLtXvc041DfMDdC_YvviHt_UcfX754tP2dXP98dWb7dV101EtayMkUwGYaimV1FnvNQRGPBUdE1rtuGxd4EoyKwkBF8AS1gFnLedUUBCWnqOna-4hp5-TL9UMsTjf93b0aSpGUqoUUMIX8sk_5D5NeVyeM0QqAK2Ulgt1uVIup1KyD-aQ42DzbAiYG-9m8W5uvJvV-7Lx-DZ36ga_O_J_RS9AswKxVP_7OLf5hxGSSm4-fNmat8-37-Frq827hb9Y-W659L_rfwBjEpkY</recordid><startdate>201004</startdate><enddate>201004</enddate><creator>Owens, David</creator><creator>Greenwood, Ben</creator><creator>Galley, Alistair</creator><creator>Tomkinson, Alun</creator><creator>Woolley, Sarah</creator><general>BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>201004</creationdate><title>Airflow efficacy of ballpoint pen tubes: a consideration for use in bystander cricothyrotomy</title><author>Owens, David ; Greenwood, Ben ; Galley, Alistair ; Tomkinson, Alun ; Woolley, Sarah</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b397t-6748f04823373caee90f41e36b4698d572cf5874a7110cf0a14b05425536306a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Airway</topic><topic>Airway management</topic><topic>Airway Obstruction - prevention & control</topic><topic>Airway Resistance</topic><topic>ballpoint pens</topic><topic>Construction</topic><topic>cricothyroidotomy</topic><topic>Emergencies</topic><topic>emergency</topic><topic>emergency care system</topic><topic>Equipment Design</topic><topic>Humans</topic><topic>Laryngeal Muscles - injuries</topic><topic>Medical equipment</topic><topic>nursing</topic><topic>Ostomy</topic><topic>Pens & pencils</topic><topic>prehospital</topic><topic>prehospital care</topic><topic>Studies</topic><topic>temporary</topic><topic>Time Factors</topic><topic>Tracheostomy - instrumentation</topic><topic>Tracheostomy - methods</topic><topic>trauma</topic><topic>Treatment Outcome</topic><topic>Ventilation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Owens, David</creatorcontrib><creatorcontrib>Greenwood, Ben</creatorcontrib><creatorcontrib>Galley, Alistair</creatorcontrib><creatorcontrib>Tomkinson, Alun</creatorcontrib><creatorcontrib>Woolley, Sarah</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Emergency medicine journal : EMJ</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Owens, David</au><au>Greenwood, Ben</au><au>Galley, Alistair</au><au>Tomkinson, Alun</au><au>Woolley, Sarah</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Airflow efficacy of ballpoint pen tubes: a consideration for use in bystander cricothyrotomy</atitle><jtitle>Emergency medicine journal : EMJ</jtitle><addtitle>Emerg Med J</addtitle><date>2010-04</date><risdate>2010</risdate><volume>27</volume><issue>4</issue><spage>317</spage><epage>320</epage><pages>317-320</pages><issn>1472-0205</issn><eissn>1472-0213</eissn><abstract>ObjectiveTo examine the suitability of commonly available ballpoint pens as a substitute emergency tracheostomy tube.Methodscommonly available ballpoint pens were examined and compared against two standard cricothyroidotomy sets. The pens were evaluated for dimensions, speed of construction of a temporary tracheostomy tube and airway resistance with differing flow rates.ResultsInternal diameters of the pens varied considerably. Time taken to construct a temporary tube ranged from 3 to 170 s, and in the majority of pens the airway resistance increased dramatically as the airflow rate increased.ConclusionContrary to popular belief, the majority of ballpoint pens appear unsuitable for use as a substitute tracheostomy tube. In this study only two pens fulfilled the criteria for use: the Baron retractable ballpoint and the BIC soft feel Jumbo.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</pub><pmid>20385693</pmid><doi>10.1136/emj.2008.069294</doi><tpages>4</tpages></addata></record> |
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| ispartof | Emergency medicine journal : EMJ, 2010-04, Vol.27 (4), p.317-320 |
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| source | MEDLINE; BMJ Journals - NESLi2 |
| subjects | Airway Airway management Airway Obstruction - prevention & control Airway Resistance ballpoint pens Construction cricothyroidotomy Emergencies emergency emergency care system Equipment Design Humans Laryngeal Muscles - injuries Medical equipment nursing Ostomy Pens & pencils prehospital prehospital care Studies temporary Time Factors Tracheostomy - instrumentation Tracheostomy - methods trauma Treatment Outcome Ventilation |
| title | Airflow efficacy of ballpoint pen tubes: a consideration for use in bystander cricothyrotomy |
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