• Pediatric emergency care · Jun 1999

    Needle cricothyroidotomy revisited.

    • D A Peak and S Roy.
    • Department of Emergency Medicine, Boston Medical Center, Massachusetts 02118, USA.
    • Pediatr Emerg Care. 1999 Jun 1; 15 (3): 224-6.

    AbstractNeedle cricothyroidotomy may provide a life-saving airway when tracheal intubation is not possible. Indications for needle cricothyroidotomy are discussed. Methods of needle/angiocatheter insertion and proposed means to connect to an oxygen source for intermittent insufflation are reviewed. A new technique for administering effective oxygenation and ventilation through a trans-tracheal catheter using materials commonly available in an emergency department is presented. Potential complications are discussed. Complete upper airway obstruction is a contraindication to needle cricothyroidotomy because of the risks of barotrauma. In a crisis situation, the emergency practitioner needs a simple, reliable, effective, and preplanned technique to deal with the "nightmare airway."

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