Difference between revisions of "Cricothyrotomy Surgical"
Jump to navigation
Jump to search
Mfrdmanager (talk | contribs) (→PROCEDURE: (refer to illustrations):) |
Mfrdmanager (talk | contribs) |
||
| Line 15: | Line 15: | ||
====EQUIPMENT:==== | ====EQUIPMENT:==== | ||
| + | [[File:Quiktrach.jpg|right|400px|]] | ||
* Quiktrach kit (Adult or Child size) | * Quiktrach kit (Adult or Child size) | ||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
====PROCEDURE: (refer to illustrations):==== | ====PROCEDURE: (refer to illustrations):==== | ||
| − | [[File:Quiktrach1.jpg| | + | [[File:Quiktrach1.jpg|right|600px|]] |
* 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. | ||
Revision as of 11:21, 16 September 2019
Contents
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:
- Quiktrach kit (Adult or Child size)
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.
- Puncture the thyroid cartilage with the device.
- Insert the Quiktrach into the trachea.
- Remove the stopper from the Quiktrach device.
- Remove the metal needle and advance cannula.
- Ventilate the patient with BVM.
- Observe breath sounds and auscultate the chest for adequate ventilation.
- Secure the Quiktrach device.
- Continue to ventilate and observe chest rise.
