Bougie-Aided Cricothyroidotomy
Published on Dec 20, 2015
A cognitive tool for a quick review of the steps in performing a bougie-A=aided cricothryoidotomy
MORE DECKS TO EXPLORE
PRESENTATION OUTLINE
Bougie-Aided Cric
The Protected Airway Presents How To Perform a
Laryngeal Handshake
Begin by finding your landmarks with a
Goal: to identify the cartilaginous complex consisting of the hyoid-thyroid-cricoid.
Technique: using your DOMINANT hand grasp with thumb on one side and four fingers on the other side just under the mandible Feel the framework of the upper airway.
https://twitter.com/tbayedguy/status/601539263629381632
Technique: using your DOMINANT hand grasp with thumb on one side and four fingers on the other side just under the mandible Feel the framework of the upper airway.
https://twitter.com/tbayedguy/status/601539263629381632
Predicting a difficult airway? Use a surgical marker so you can rapidly identify essential landmarks again if you need to!
Goal: find cricothyroid membrane.
Technique: place left hand resting on the patient’s chin, and your thumb and fingers grasping the larynx. The most inferior prominence of the laryngeal complex palpated by your index finger will be the cricoid. The first soft spot palpated up is the cricothyroid membrane.
Technique: place left hand resting on the patient’s chin, and your thumb and fingers grasping the larynx. The most inferior prominence of the laryngeal complex palpated by your index finger will be the cricoid. The first soft spot palpated up is the cricothyroid membrane.
Vertical Incision
From Thyroid to Cricoid Cartilage, Make a Generous
Goal: Find the cricothyroid membrane
Technique: make a 1-3cm VERTICAL incision through the skin, particularly if anatomy is not well defined.
Technique: make a 1-3cm VERTICAL incision through the skin, particularly if anatomy is not well defined.
Use a finger to feel for the cricothyroid membrane
Once the cricothyroid membrane is
At the Cricothyroid Membrane
Make a "Stabbing" Horizontal Incision
Rotate Vertically
Leave the Scalpel In Place, Change Hands, and
Have a 6.0 Endotracheal tube or a 6.0 cuffed Tracheostomy tube.
Insert Bougie
With Scalpel in Vertical position
Have a 6.0 Endotracheal tube or a 6.0 cuffed Tracheostomy tube.
Remove scalpel & slide 6.0 ETT or tracheal tube over bougie
Have a 6.0 Endotracheal tube or a 6.0 cuffed Tracheostomy tube.
Cadaver Model
Watch this technique performed in a
Simplify & Remember
In the Stress of a Failed Airway
Scalpel
Finger
Photo by Juliana Coutinho
Bougie
In Your Favor
May the Airway Be Ever
