Mfrdmanager: Protected "Cricothyrotomy Needle" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

2018-02-10T18:20:40Z

Protected "Cricothyrotomy Needle" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

Mfrdmanager: Created page with "==Procedure Guidelines== ===9.09 CRICOTHYROTOMY (NEEDLE)=== ====INDICATIONS:==== * If unable to ventilate and airway not patent, perform Needle Cricothyrotomy, as listed on..."

2018-02-10T18:18:17Z

Created page with "==Procedure Guidelines== ===9.09 CRICOTHYROTOMY (NEEDLE)=== ====INDICATIONS:==== * If unable to ventilate and airway not patent, perform Needle Cricothyrotomy, as listed on..."

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==Procedure Guidelines==
===9.09 CRICOTHYROTOMY (NEEDLE)===

====INDICATIONS:====
* If unable to ventilate and airway not patent, perform Needle Cricothyrotomy, as listed on line 6, page 2-8 in the Practice Parameters.
* Preferred over surgical cricothyrotomy in children under 12 years old.
* Preferred over surgical cricothyrotomy in patients with known clotting disorders and/or anticoagulant therapy.

====EQUIPMENT:====
* 14 gauge over the needle catheter.
* 3.0 mm endotracheal tube adapter 12 ml syringe.
* Antiseptic swabs.
* 12 cc syringe.
* Tape.
* Occlusive dressing.
* BVM.

====PROCEDURE:====
* Place the patient in a supine position with the neck in a neutral position.
* Gather and prepare equipment.
* Prepare site with Antiseptic swabs.
* Palpate the cricothyroid membrane, anteriorly, between the thyroid cartilage and cricoid cartilage. Stabilize the trachea with the thumb and forefinger of one hand.
* Stretch skin taut.
* Puncture the skin midline with the needle attached to the syringe, directly over the cricothyroid membrane.
* Direct the needle at a 45 degree angle caudally, while applying negative pressure to the syringe.
* Carefully insert the needle through the lower half of the cricothyroid membrane, aspirating as the needle is advanced.
* Aspiration of air signifies entry into the tracheal lumen.
* Remove the syringe and withdraw the needle while gently advancing the catheter downward into position, being careful not to perforate the posterior wall of the trachea.
* Attach 3.0 mm ET adapter to hub of catheter, connect BVM and ventilate while manually stabilizing catheter.
* Observe breath sounds and auscultate the chest for adequate ventilation.
* Secure the catheter to the patient's neck with tape (chevron) after area prepped with benzoin.
* Continue to ventilate and observe chest rise.

====ILLUSTRATION:====
[[File:Needle_Crich_1.jpg|left|200px|]]
<br style="clear: both" />
Palpate the cricothyroid membrane, anteriorly, between the thyroid cartilage and cricoid cartilage.

[[File:Needle_Crich_2.jpg|left|200px|]]
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Puncture the skin directing the needle at a 45-degree angle caudally.

[[File:Needle_Crich_3.jpg|left|200px|]]
<br style="clear: both" />
Remove needle from catheter.

[[File:Needle_Crich_4.jpg|left|200px|]]
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Gently advance catheter downward into position.

[[Category:Procedure Guidelines|0909]]

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Cricothyrotomy Needle - Revision history

Mfrdmanager: Protected "Cricothyrotomy Needle" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

Mfrdmanager: Created page with "==Procedure Guidelines== ===9.09 CRICOTHYROTOMY (NEEDLE)=== ====INDICATIONS:==== * If unable to ventilate and airway not patent, perform Needle Cricothyrotomy, as listed on..."