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Emergency cricothyrostomy--technique and anatomical considerations
The Journal of Emergency Medicine
|January 1, 1985
Summary
Emergency airway control via cricothyrostomy is vital when other intubation methods fail. This procedure uses specific incisions and a size 6 tracheostomy tube, resulting in rare complications.
Area of Science:
- Emergency Medicine
- Surgical Procedures
- Airway Management
Background:
- Cricothyrostomy is a critical intervention for emergency airway management.
- It is indicated when endotracheal or nasotracheal intubation is not feasible or is contraindicated.
Purpose of the Study:
- To outline the standard technique for emergency cricothyrostomy.
- To emphasize the appropriate equipment and anatomical considerations for the procedure.
Main Methods:
- A vertical skin incision is made.
- A subsequent horizontal incision is performed through the cricothyroid membrane.
- A size 6 tracheostomy tube is recommended for insertion.
Main Results:
- The described technique facilitates emergency airway control.
- The use of a size 6 tracheostomy tube is anatomically appropriate for the cricothyroid space.
- Complications associated with this method are infrequent.
Conclusions:
- Cricothyrostomy is an effective and safe emergency airway procedure.
- Proper technique and equipment selection are key to minimizing complications.
- This procedure remains the method of choice in specific emergency airway scenarios.