Unformatted text preview: referable to a tracheotomy as there
are no large midline vessels in front of the median
cricothyroid ligament whereas there are in front of the
superior part of the trachea.
superior CONTRAINDICATIONS Massive trauma to the larynx or cricoid cartilage: Damage to the affected structures will make it
impossible to perform the procedure properly
If another means of establishing an airway has not
been performed. Examples include:
been Heimlich maneuver, nasotracheal or orotracheal
intubation COMPLICATIONS Major bleeding is caused by the
laceration of any major vessels (carotid
artery or jugular vein) within the neck.
– NOTE: Very Heavy bleeding is
common and normal.
Treatment: Same as minor bleeding.
However, if bleeding is not controlled
with pressure, the vessel may need to
be COMPLICATIONS Esophageal Perforation or Tracheoesophageal
Fistula Definition: The creation of a hole between the
esophagus and trachea
esophagus Causes: Creating an incision too deep through the
cricoid Forcing the endotracheal tube through the
cricoid membrane and into the esophagus
cricoid COMPLICATIONS Treatment: Requires surgical repair of fistula or
perforation. COMPLICATIONS Hemorrhage Is the most common complication Minor bleeding is caused by the laceration of
superficial capillaries in the skin tissue
superficial Note: The Thyroid Gland may extend into
the area of the cricothyroid membrane,
heavy bleeding can be experienced.
heavy Treatment: Direct pressure to control the
bleeding and then the application of a simple
pressure COMPLICATIONS Subcutaneous Emphysema Definition: The presence of free air or gas
within the subcutaneous tissues
within Causes: Creating too wide of an incision will
encourage air entrapment under the
subcutaneous Air leaking out of the insertion site may get
trapped under the subcutaneous tissues
trapped COMPLICATIONS Treatment: No treatment is usually necessary.
Subcutaneous emphysema will usually
dissipate on its...
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- Fall '11
- Cricoid Cartilage, Endotracheal tube, procedural steps, cricothyroid membrane