Andy Little, DO
Emergency Medicine
Associate Program Director
AdventHealth Orlando EM Residency Program
Orlando, FL
Twitter: @andyglittle
Presentation Objectives
- Discuss the indications to perform a surgical cricothyrotomy
- Discuss the anatomy crucial to performing a surgical cricothyrotomy
Presentation Outline
- Discuss the Indications for a surgical cricothyrotomy
- Can’t Intubate
- Can’t Oxygenate
- Discuss the Complications of performing a surgical cricothyrotomy
- Bleeding
- Posterior Laryngeal Injury
- Nerve Damage
- Discuss the anatomy of the neck in relation to performing a surgical cricothyrotomy
- Thyroid Cartilage
- Cricothyroid Membrane/Ligament
- In adults, this is 9 to 19mm horizontally & 9 to 20mm vertically)
- Cricoid Cartilage
- Trachea
- Discuss the materials needed to perform a surgical cricothyrotomy
- Bougie
- 11 Blade Scalpel
- 6.0 ET Tube
- Your Finger
- Provide step by step instructions to performing a surgical cricothyrotomy
References:
- Sorbello M et al. Front-of-Neck Access and Bougie Trapping. Anaesthesia 2018. PMID: 30132808
- Paix BR et al. Emergency Surgical Cricothyroidotomy: 24 Successful Cases Leading to a Simple ‘Scalpel-Finger-Tube’ Method. Emerg Med Australas 2012. PMID: 22313556
- Langvad S et al. Emergency Cricothyrotomy – A Systematic Review. Scand J Trauma Resusc Emerg Med 2013. PMID: 23725520
- Salim Rezaie, “Bougie-Assisted Cricothyrotomy”, REBEL EM blog, February 26, 2021. Available at [Link is HERE]
Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie)
The post Rebellion21: Cut The Neck – The Bougie Assisted Cric via Andy Little, DO appeared first on REBEL EM - Emergency Medicine Blog.