Difference between revisions of "Cricothyrotomy Surgical"
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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. | ||
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====CONTRAINDICATIONS:==== | ====CONTRAINDICATIONS:==== | ||
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* Known bleeding disorder and/or anticoagulant therapy. | * Known bleeding disorder and/or anticoagulant therapy. | ||
* Unable to locate landmarks. | * Unable to locate landmarks. | ||
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| + | ====EQUIPMENT:==== | ||
| + | [[File:Quiktrach.jpg|left|250px|]] | ||
| + | * Quiktrach kit (Adult or Child size) | ||
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====PROCEDURE: (refer to illustrations):==== | ====PROCEDURE: (refer to illustrations):==== | ||
| − | [[File: | + | [[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. |
| − | + | * Insert the Quiktrach into the trachea. | |
| − | * Insert the | + | * 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. | * Observe breath sounds and auscultate the chest for adequate ventilation. | ||
| − | * Secure the | + | * 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.
