Periprocedural Care
Equipment
Equipment for open cricothyroidotomy (cricothyrotomy) includes the following:
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Cuffed, nonfenestrated tracheostomy tubes, No. 4 and No. 5
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Scalpel, No. 11
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Trousseau dilator
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Tracheal hook
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4 × 4 gauze/sponges
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Optional equipment - Small hemostats (2), surgical drapes, 1% lidocaine with syringe and needle
Equipment for needle cricothyroidotomy includes the following:
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Over-the-needle catheter, 12 or 14 gauge, 8.5 cm
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Over-the-needle catheter, 16 or 18 gauge, 8.5 cm (for pediatric patients)
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Syringe, 10 mL
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Scalpel, No. 11
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4 × 4 gauze/sponges
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Nasal cannula or oxygen tubing with Y-connector
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Optional equipment - Surgical drapes, 1% lidocaine with syringe and needle
Equipment for percutaneous cricothyroidotomy using the Seldinger technique includes the following:
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Cricothyrotome kit
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Scalpel, No. 11
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4 × 4 gauze/sponges
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Optional equipment - Surgical drapes, 1% lidocaine with syringe and needle
Next:
Patient Preparation
Anesthesia
If time permits and the patient is not unresponsive, injection of the skin and subcutaneous tissue over the cricothyroid membrane with 1% lidocaine solution provides adequate anesthesia.
Positioning
Position the patient supine, with the neck in a neutral position.
Previous
Media Gallery
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Fiberoptic-assisted tracheal intubation. Video courtesy of Therese Canares, MD, and Jonathan Valente, MD, Rhode Island Hospital, Brown University.
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Surgical tracheostomy procedure. Video courtesy of Gauri Mankekar, MBBS, MS, PhD.
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Cricothyroidotomy (Seldinger technique). Video courtesy of Therese Canares, MD, and Jonathan Valente, MD, Rhode Island Hospital, Brown University.
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