Cricothyrotomy Procedure

Overview

• Cricothyrotomy is an emergency procedure to secure an airway.

Steps in the Procedure

1. Initial Positioning

• Non-Dominant Hand
  • Holds the neck.
  • Palpates the landmarks necessary for incision.

2. Making the Incision

• Number 10 Blade
  • Used to make a vertical incision.
• Landmarks
  • Confirmed before making the incision.

3. Stab Incision

• Performed using the Number 10 blade.
• Technique similar to using a shoehorn.

4. Insertion of Bougie

• A bougie is inserted into the incision.
• Preloading
  • The bougie is preloaded with a 6.0 ET (Endotracheal) tube.

5. Placement of ET Tube

• Once the ET tube is in place:
  • The bougie is removed.
  • The cuff of the ET tube is inflated to secure it in position.

Important Points

• Ensure landmarks are clearly palpated and confirmed.
• Be cautious with the incision to avoid unnecessary injury.
• Properly inflate the cuff to maintain airway security.