Cricothyroidotomy surgical airway



Background

  • Can be lifesaving.
  • Not in children aged less than 12 years.
  • Before attempting this procedure consider all other options ...particularly airway clearing manoeuvres, and intubation

Minimum equipment

  • Something to clean the skin
  • Scalpel
  • ± Tracheal spreader
  • Bougie
  • 6.0 ETT

Procedure

Neck Zones
Neck Zones

Potential Complications

  • Inadequate oxygenation / ventilation
  • Haemorrhage and haematoma
  • Aspiration of blood
  • Creation of a false passage
  • Oesophageal or tracheal laceration
  • Surgical emphysema
  • Laryngeal stenosis
  • Cellulitis
  • Vocal cord paralysis

Content by Dr Íomhar O' Sullivan 13/07/2004. Reviewed by Dr ÍOS 11/02/2007. Next review Dr ÍOS 8/06/16.