cricothyroidotomy

Cartilage using your stabilize non dominant hand non

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