Cricothyrotomy Surgical - Revision history

Treloars at 17:41, 1 February 2018

2018-02-01T17:41:02Z

← Older revision		Revision as of 17:41, 1 February 2018
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	* Continue to ventilate and observe chest rise.		* Continue to ventilate and observe chest rise.

	[[Category:Procedure Guidelines]]		[[Category:Procedure Guidelines\|0910]]

Treloars: /* Procedure Guidelines 9.10 */

2012-04-02T01:25:59Z

Procedure Guidelines 9.10

← Older revision		Revision as of 01:25, 2 April 2012
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	* Secure the endotracheal tube.		* Secure the endotracheal tube.
	* Continue to ventilate and observe chest rise.		* Continue to ventilate and observe chest rise.

			[[Category:Procedure Guidelines]]

Treloars: /* Procedure Guidelines 9.10 */

2012-02-13T01:42:04Z

Procedure Guidelines 9.10

← Older revision		Revision as of 01:42, 13 February 2012
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	====PROCEDURE: (refer to illustrations):====		====PROCEDURE: (refer to illustrations):====
			[[File:SurgCrich1.jpg\|200px\|thumb\|left\|]]
	* Place the patient in a supine position with the neck in a neutral position.		* Place the patient in a supine position with the neck in a neutral position.
	* Palpate the thyroid notch, cricothyroid membrane, and the sternal notch for orientation. Gather equipment.		* Palpate the thyroid notch, cricothyroid membrane, and the sternal notch for orientation. Gather equipment.
Line 29:		Line 30:
	* Stabilize the thyroid cartilage with thumb and 3rd finger of hand. Stretch skin taut.		* Stabilize the thyroid cartilage with thumb and 3rd finger of hand. Stretch skin taut.
	* Make a superficial transverse skin incision over the cricothyroid membrane. Carefully puncture through the membrane and maintain site with tip of gloved index finger.		* Make a superficial transverse skin incision over the cricothyroid membrane. Carefully puncture through the membrane and maintain site with tip of gloved index finger.
			[[File:SurgCrich2.jpg\|200px\|thumb\|left\|]]
	* Insert the scalpel handle into the incision and rotate 90 degrees to open airway OR insert hemostats to enlarge opening for passage of tube.		* Insert the scalpel handle into the incision and rotate 90 degrees to open airway OR insert hemostats to enlarge opening for passage of tube.
	* Insert cuffed endotracheal tube into the cricothyroid membrane incision directing the tube distally into the trachea.		* Insert cuffed endotracheal tube into the cricothyroid membrane incision directing the tube distally into the trachea.

Treloars: Created page with "==Procedure Guidelines 9.10== ===CRICOTHYROTOMY (SURGICAL)=== ====INDICATIONS:==== * If unable to ventilate and airway not patent, perform Cricothyrotomy, as listed on line ..."

2012-02-12T21:46:37Z

Created page with "==Procedure Guidelines 9.10== ===CRICOTHYROTOMY (SURGICAL)=== ====INDICATIONS:==== * If unable to ventilate and airway not patent, perform Cricothyrotomy, as listed on line ..."

New page

==Procedure Guidelines 9.10==
===CRICOTHYROTOMY (SURGICAL)===

====INDICATIONS:====
* If unable to ventilate and airway not patent, perform Cricothyrotomy, as listed on line 5, page 2-7 in the Practice Parameters.
* When an airway is needed and intubation is unsuccessful.

====CONTRAINDICATIONS:====
* Children under 12 years old.
* Known bleeding disorder and/or anticoagulant therapy.
* Unable to locate landmarks.

====EQUIPMENT:====
* #11 scalpel blade with handle.
* Needle nose hemostats.
* 5.0 to 7.0 mm endotracheal tube, cut above pilot balloon.
* Antiseptic swabs.
* Tape.
* BVM.

====PROCEDURE: (refer to illustrations):====
* Place the patient in a supine position with the neck in a neutral position.
* Palpate the thyroid notch, cricothyroid membrane, and the sternal notch for orientation. Gather equipment.
* Prepare site with Antiseptic swabs.
* Stabilize the thyroid cartilage with thumb and 3rd finger of hand. Stretch skin taut.
* Make a superficial transverse skin incision over the cricothyroid membrane. Carefully puncture through the membrane and maintain site with tip of gloved index finger.
* Insert the scalpel handle into the incision and rotate 90 degrees to open airway OR insert hemostats to enlarge opening for passage of tube.
* Insert cuffed endotracheal tube into the cricothyroid membrane incision directing the tube distally into the trachea.
* Inflate the cuff and ventilate the patient with BVM.
* Observe breath sounds and auscultate the chest for adequate ventilation.
* Secure the endotracheal tube.
* Continue to ventilate and observe chest rise.