Name:
Percutaneous Cricothyrotomy
Description:
Percutaneous Cricothyrotomy
Thumbnail URL:
https://cadmoremediastorage.blob.core.windows.net/dc35f4a7-35e5-4b9f-8136-7d4e9e72b361/thumbnails/dc35f4a7-35e5-4b9f-8136-7d4e9e72b361.jpg?sv=2019-02-02&sr=c&sig=OdNr323RZRRM0Z0C2%2B%2Fz0OO%2F7w08hQcXMmivjtJMxHs%3D&st=2023-03-23T23%3A47%3A48Z&se=2023-03-24T03%3A52%3A48Z&sp=r
Duration:
T00H02M20S
Embed URL:
https://stream.cadmore.media/player/dc35f4a7-35e5-4b9f-8136-7d4e9e72b361
Content URL:
https://asa1cadmoremedia.blob.core.windows.net/asset-54382a54-2cdb-4cd1-a1e2-0f122d85489d/Hung_15_Percutaneous20Cric.mov
Upload Date:
2022-02-27T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
Percutaneous cricothyrotomy is a lifesaving procedure in patients when tracheal intubation and oxygenation using a bag mask or extraglottic device have failed. If a Melker percutaneous cricothyrotomy kit is not
Segment:1 Equipment.
available, the following equipment are required to perform a percutaneous dilational cricothyrotomy-- a number 11 scalpel blade, a 5 cc syringe, an 18 gauge catheter over needle, a guide wire, a dilator, a cuffed airway catheter.
Segment:2 Technique.
With the neck well exposed, the cricothyroid space is identified. The cricothyroid space is then punctured by 18 gauge needle attached to a 5 cc syringe with 2 to 3 cc of saline or local anesthetic. The needle-syringe combination is directed in the caudad direction. The placement of the needle into the trachea is confirmed by aspiration of air bubbles into the syringe.
To confirm that the catheter remains inside the trachea, aspiration of free air should be repeated through the catheter after the removal of the needle. A guide wire is then inserted through the catheter caudally, and the catheter is subsequently removed. A small cut of the cricothyroid membrane is made along the guide wire with the scalpel. The airway catheter loaded onto the dilator is advanced as a single unit over the wire and into the trachea.
The dilator and guide wire are then removed together. Proper tube placement is then confirmed by end-tidal CO2 and by auscultation.
Segment:3 Summary.
Cricothyrotomy remains an important technique to learn in airway management. Many commercial sets, including the Melker's cricothyrotomy kit, have all the necessary equipment to perform the technique.
With proper preparation, the technique can be performed easily.