Name: ACA- Hung 4e- Open Cricothyrotomy

Description: ACA- Hung 4e- Open Cricothyrotomy

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Upload Date: 2023-11-24T00:00:00.0000000

Transcript: Language: EN.
Segment:0 .
The open cricothyrotomy is a lifesaving procedure in patients with a failed airway.
Segment:1 Equipment.
For open cricothyrotomy, the equipment required include a scalpel with a #11 blade, a tracheal hook, a Trousseau dilator, a cuffed tracheotomy tube or airway catheter.
Segment:2 Technique .
With the patient positioned and landmark identified, the following steps are recommended.
A right-handed operator stands on the patient's right side and gently grasps the thyroid cartilage with the left hand. Locating the cricothyroid space with the tip of the index finger from above, a four-centimeter vertical midline incision is made. The index finger is reinserted through the incision to locate the cricothyroid space. A transverse incision of the cricothyroid membrane is performed at the superior border of the cricoid cartilage, and the tracheal hook is inserted under the inferior border of the thyroid cartilage.
The index finger is inserted through the cricothyroid membrane incision to dilate it and to provide a path for the Trousseau dilator. A cuffed tracheotomy tube or, in this case, an airway catheter loaded onto the dilator is inserted as a single unit through the cricothyroid membrane caudally into the trachea with a rotating motion.
Following placement of the tube, the dilator and hook are removed together. Proper tube placement is then confirmed by end-tidal CO2 and by auscultation.
Segment:3 Summary.
The open cricothyrotomy remains an important technique to learn in airway management. With proper preparation, the technique can be performed easily.
Many commercial kits have all the necessary equipment to perform the technique. These kits should be available in all areas where airway management is undertaken.

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