Difference between revisions of "Cricothyrotomy Surgical"
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Revision as of 11:25, 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.
