Difference between revisions of "Cricothyrotomy Surgical"
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Mfrdmanager (talk | contribs) (→PROCEDURE: (refer to illustrations):) |
Mfrdmanager (talk | contribs) (→CONTRAINDICATIONS:) |
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====INDICATIONS:==== | ====INDICATIONS:==== | ||
| − | * If unable to ventilate and airway not patent, perform Cricothyrotomy | + | * If unable to ventilate and airway not patent, perform Cricothyrotomy. |
* When an airway is needed and intubation is unsuccessful. | * When an airway is needed and intubation is unsuccessful. | ||
| − | |||
====CONTRAINDICATIONS:==== | ====CONTRAINDICATIONS:==== | ||
| − | |||
* Known bleeding disorder and/or anticoagulant therapy. | * Known bleeding disorder and/or anticoagulant therapy. | ||
* Unable to locate landmarks. | * Unable to locate landmarks. | ||
| − | |||
====EQUIPMENT:==== | ====EQUIPMENT:==== | ||
| + | [[File:Quiktrach.jpg|left|250px|]] | ||
* Quiktrach kit (Adult or Child size) | * Quiktrach kit (Adult or Child size) | ||
| − | + | ||
| + | |||
| + | |||
| + | |||
| Line 28: | Line 29: | ||
====PROCEDURE: (refer to illustrations):==== | ====PROCEDURE: (refer to illustrations):==== | ||
| + | [[File:Quiktrach1.jpg|left|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. | ||
* Prepare site with Antiseptic swabs. | * Prepare site with Antiseptic swabs. | ||
* 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. | ||
| − | * Puncture the thyroid cartilage with the device. | + | * Puncture the thyroid cartilage with the device. |
* Insert the Quiktrach into the trachea. | * Insert the Quiktrach into the trachea. | ||
* Remove the stopper from the Quiktrach device. | * Remove the stopper from the Quiktrach device. | ||
| Line 40: | Line 42: | ||
* Secure the Quiktrach device. | * Secure the Quiktrach device. | ||
* Continue to ventilate and observe chest rise. | * Continue to ventilate and observe chest rise. | ||
| − | |||
[[Category:Procedure Guidelines|0910]] | [[Category:Procedure Guidelines|0910]] | ||
Latest revision as of 11:30, 16 September 2019
Contents
Procedure Guidelines 9.10
CRICOTHYROTOMY (SURGICAL)
INDICATIONS:
- If unable to ventilate and airway not patent, perform Cricothyrotomy.
- When an airway is needed and intubation is unsuccessful.
CONTRAINDICATIONS:
- 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.
