Mobile Cricothyrotomy Simulation Cart Improves Anesthesia Providers’ Confidence, Technical Skills, and Procedure Time

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Class A Credits: 1.0

Format: Video

Run time: 44 mins

Course Launch Date: 11/1/19

Course Expires: 2/25/22

Cricothyrotomy is an emergency invasive airway used in “cannot intubate, cannot ventilate” (CICV) events. CICV events occur very infrequently, causing anesthesia providers to have limited or no experience performing cricothyrotomy. Their inexperience with cricothyrotomy leads to a lack of confidence in their cricothyrotomy skills, incompetence in performing the procedure, longer procedure times, and deviations from difficult airway algorithms. While cricothyrotomy skills may be learned and retained through simulation, ongoing cricothyrotomy education is not commonly provided in the workplace.


Post-Test Attempt Notice
A minimum passing score of 80% is required to pass this course. You have TWO opportunities to achieve a passing score. If you fail to achieve a passing score of 80%, you will not receive CE credit for this course.

Content Disclaimer:

The views, information, or opinions expressed within the videos and audio are solely those of the individuals involved and do not necessarily represent those of the American Association of Nurse Anesthetists.

Course content has been prepared by the presenter/developer, and each viewer agrees that the presenter/developer is solely responsible for the content and the accuracy thereof. The viewer agrees that the American Association of Nurse Anesthetists has no responsibility or liability for the accuracy or completeness of the content.

  • The learner will be able to identify what a cricothyrotomy is and when one is needed.
  • The learner will comprehend the problem surrounding lack of cricothyrotomy training for anesthesia providers.
  • The learner will understand the projectu2019s purpose, innovation and results and will be able to replicate the project in their clinical practice.

Sara Bartolomeo, SRNA, BSN, RN

Student Registered Nurse Anesthetist Duke University

Sara Bartolomeo is an enthusiastic third year student registered nurse anesthetist (SRNA) at Duke University School of Nursing. Her journey to anesthesia began when she received her Bachelor of Science in Nursing degree in 2009 from Southern Connecticut State University. From 2009 to 2016 she gained nursing experience in a variety of roles, with over four years being in the intensive care unit. Throughout her nursing career, Sara has been deeply involved in quality improvement, including serving as Secretary to Milford Hospital’s first Nursing Practice Council, and as Co-Chair and Chair to Sharp Grossmont Hospital’s Medical Intensive Care Unit Practice Council. At Sharp Grossmont Hospital she also participated in the Hospital-Wide Nursing Practice Council, the Night-Shift Hospital-Wide Nursing Practice Council, and the Healthy Work Environment Committee where she worked on projects, like the ABCDE Bundle, to improve patient outcomes.



Virginia Muckler, DNP, CRNA, CHSE

Associate Clinical Professor Duke University School of Nursing

Virginia Chris Muckler, DNP, CRNA, CHSE, is an Associate Professor with the Duke University Nurse Anesthesia Program in Durham, North Carolina nad a practicing nurse anesthetist. Dr. Muckler is a veteran of the United States Air Force, a member of the Duke University Health System Institutional Review Board and has held state and national elected positions. Dr. Muckler serves on the Continued Professional Certification Airway Panel for the National Board of Certification and Recertification as a reviewer for multiple journals, is a National League for Nursing Simulation Leader, and has served as a simulation consultant within the continental United States and abroad. In her role as the primary simulation educator for the Duke NAP, Dr. Muckler has designed and implemented simulation scenarios for the NAP as well as multiple interprofessional simulation events, presented at faculty development simulation workshops, and serves on the Duke School of Nursing simulation center advisory board. Dr. Muckler is a member of SSH and INACSL among other professional organizations and her primary research interests are focused on simulation-based education including suspension of disbelief.


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