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Unformatted text preview: own accord within a few
days. However, placing a petroleum gauze
dressing around the incision / insertion site
will help reduce the incidence of
subcutaneous Monitor the size of the subcutaneous
emphysema. DISADVANTAGES OF
Requires advanced training to properly
perform Bypasses the nares function of warming and
filtering the air.
filtering May increase respiratory resistance (due to
smaller tube size).
smaller Improper placement. ANATOMICAL LANDMARKS
AND STRUCTURES Trachea
Thyroid Gland ANATOMICAL LANDMARKS
AND STRUCTURES-Closeup Pharynx and Trachea in Detail More Anatomy Anterior view of the larynx to show the median
1. Thyroid lamina.
2. Arch of cricoid cartilage.
3. Median cricothyroid ligament (cut here) Smallest Part of the Airway ???
In Adults it is at the vocal cords In Infants and Children up to 8 it is the
Cricoid ring (cartilage), this is why uncuffed
ET tubes work in children.
ET Required Equipment for
Emergency Cricothyroidotomy Required Equipment #10 or 11 Scalpel
10 cc Syringe
Stethoscope Curved Kelly
Vaseline / Petroleum
Betadine or Alcohol
Wipes Required Equipment (continued)
Sterile or Clean Gloves Suture Material Suction Device Suture Scissors Tape PROCEDURAL STEPS FOR
Determine that the patient’s ABC’s is in
jeopardy. Determine that the patient requires an
emergency Assemble required equipment, quickly. Do it. Don’t hesitate PROCEDURAL STEPS FOR
CRICOTHYROIDOTOMY Position the patient’s head/neck The patient is placed in a supine or semirecumbent position The neck is placed in a neutral position PROCEDURAL STEPS FOR
CRICOTHYROIDOTOMY Palpate the thyroid and
cricoid cartilage for
orientation A - Cricoid Cartilage B - Cricothyroid
Membrane C - Incision Site D - Thyroid Cartilage PROCEDURAL STEPS FOR
Locate the cricothyroid membrane Stabilize the thyroid cartilage using your
non-dominant Swab the incision site with alcohol or
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This note was uploaded on 12/27/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.
- Fall '11