Needle Cricothyrotomy

Front 1

What are your indications for a Needle Cricothyrotomy?

Back 1

There is a need for an advanced airway and ETT or KLT are unsuccessful or contraindicated, or you are unable to ventilate

Front 2

What are the conditions that need to be met for a needle cricothyrotomy?

Back 2

• Pt. is >= 12 years old
• Pt. LOA is altered
• no fracture to larynx & or inability to landmark

Front 3

What is your first step in a needle cricothyrotomy?

Back 3

You must patch the BHP for permission

Front 4

What is your first step in initiating a needle cricothyrotomy?

Back 4

• Place your patient on his or her back, then extend the head and neck (provided there are no c-spine injuries)
• neutral positioning may also work as well...

Front 5

After you have placed the patient on his/her back and extended the head and neck what do you want to do next?

Back 5

• Grasp the larynx with your thumb and middle finger.
• Locate the cricoid cartilage and the cricothyroid membrane with the index finger.
• Prep the area quickly "iodine or alcohol swab"

Front 6

After you have grasped the larynx with your thumb and middle finger, located the cricoid cartilage, prepped the area, what do you want to do next?

Back 6

• Use the supplied 14g catheter with the 6cc syringe attached.
• Insert the catheter into the airway at a 45 degree caudal angle looking for free air in the syringe.

Front 7

After you have inserted the catheter into the airway at a 45 degree caudal angle what do you want to do next?

Back 7

Remove the syringe and needle leaving the catheter in place?

Front 8

You have removed the needle and left the catheter in place, what do you want to do next?

Back 8

Secure the flange of the airway adapter to the patient

Front 9

You have secured the flange of the airway adapter to the patient, what do you want to do next?

Back 9

Attach a BVM and attempt to ventilate the patient.