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Unformatted text preview: EMERGENCY
CRICOTHYROIDOTOMY Vic Vernenkar, D.O.
Department of Surgery
St. Barnabas Hospital EMERGENCY
VIII. Indications for surgical airway placement
Anatomy of the Trachea and landmarks
Performing the Procedure
Securing the airway
CRICOTHYROIDOTOMY DEFINITION An emergency surgical procedure where
an incision is made through the skin and
cricothyroid membrane which allows for
the placement of an endotracheal tube
into the trachea when airway control is
not possible by other methods.
not INDICATIONS Obstructed Airway - obstructions within the
airway will usually prevent the passage of
an endotracheal tube or prevent the
establishment of a patent airway.
Therefore, a surgical airway distal to the
obstruction is required.
Congenital deformities of the oropharynx or
nasopharynx which inhibit or prevent
nasotracheal or orotracheal intubation
nasotracheal Trauma to the head or neck which would
preclude the use of an ambu-bag,
oropharyngeal airway, nasopharyngeal
airway, or endotracheal tube insertion
airway, INDICATIONS Cervical Spine fractures, or highly suspect
fractures in a patient who requires an airway but
whom nasotracheal intubation is contraindicated.
Examples Nasal bone fractures Cribiform fractures
The healthcare provider is unable to establish an
airway by any other means and this is the “last
resort ADVANTAGES OF
CRICOTHYROIDOTOMY Provides a definitive airway for ventilating
Can be performed quickly and has few
complications associated with the procedure
complications ADVANTAGES OF
For an emergency cricothyroidotomy the laryngeal
prominence and cricoid cartilages are palpated and
entry is made through the median cricothyroid
This procedure is p...
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- Fall '11