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Unformatted text preview: tadine swabs
betadine PROCEDURAL STEPS FOR
CRICOTHYROIDOTOMY Make a vertical incision through the skin
approximately 2-5 cm (1 inch+) long over
the cricothyroid membrane
the Visualize the cricothyroid membrane PROCEDURAL STEPS FOR
CRICOTHYROIDOTOMY Discussion, Vertical or Horizontal incision? Vertical is best for emergencies, you will
expose the membrane guaranteed.
expose Vertical does not heal well, there may be a
scar and some internal scaring/fibroids.
scar You have to be alive to be inconvenienced
by the scar.
by PROCEDURAL STEPS FOR
CRICOTHYROIDOTOMY Make a transverse
incision into the
membrane DO NOT make the
incision more than
1/2 inch deep or
you may perforate
the PROCEDURAL STEPS FOR
Insert the Curved Kelly Hemostat into the
incision and blunt dissect the incision (turn
the Curved Kelly Hemostat 90 degrees to
open up the incision)
open If you only have a straight hemostat, use it. PROCEDURAL STEPS FOR
CRICOTHYROIDOTOMY Insert the endotracheal tube (adult 6.5 or
smaller, Ped ? whatever will fit), into
the incision, directing the tube distally
down the trachea
down PROCEDURAL STEPS FOR
CRICOTHYROIDOTOMY Ventilate the patient with two breaths Check for proper placement of the
endotracheal tube with these first two
Observing the chest rise and fall with
Auscultate for bilateral breath sounds Guideline for Breath Sounds Bilateral Breath Sounds present - the endotracheal
tube has been properly placed
tube proper placement will cause both lungs to
inflate with each ventilation
Bilaterally Absent Breath Sounds - the
endotracheal tube is not within the trachea and has
probably been placed within the esophagus.
probably Remove the tube and attempt to reinsert into the
trachea Guidelines for Breath Sound
Right main-stem placement is comm...
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- Fall '11