Cricothyrotomy

Question 1

Indications for urgent cricothyrotomy

Answer 1

burn inhalation injuries
maxillofacial and oral injuries
large hemorrhae
large vomit
neck structure abnormality
trauma to the neck
airway closure due to bee or wasp sting

Question 2

Name 4 techniques for the cricothyrotomy procedure

Answer 2

surgical
needle
seldinger
scalpel-finger-bougie

Question 3

How much time does a cricothyrotomy need?

Answer 3

30-120 seconds!

Question 4

How long can the trach remain after the urgent procedure

Answer 4

up to 24hrs then changed for a better trach tube

Question 5

Needle technique equipment needed

Answer 5

12-14 guage IV catheter
size 7 ETT (15mm)
3ml syringe
adequate oxygenation for approx 30-45 minutes
can result in subglottic stenosis

Question 6

name position for cricothyrotomy

Answer 6

supine and neck neutral position

Question 7

Surgical technique equipment needed

Answer 7

2.5cm vertical insicion
1-2 cm horizontal on each side and POP is heard
size 5-6 ETT (not to be inserted more than 2-3cm)
size 4 trach tube

Question 8

Seldinger technique equipment needed

Answer 8

no. 11 blade
guidewire
dilator
etco2

Question 9

scalpel-finger-bougie technique equipment needed

Answer 9

blade #20 scalpel
bougie
trach tube size 6
10 cc syringe
securement device

Question 10

Complications of cricothyroidotomy

Answer 10

Esophageal perforation/Fistula too
Subcutaneous emphysema
Excessive bleeding