Abstract
A simplified 4-step cricothyrotomy technique is described. The procedure can be completed in <30 seconds without use of suction or additional light source. The only equipment needed is a 20 scalpel, a tracheal hook with a large radius, and a cuffed tracheostomy tube. The 4 steps are: 1) palpation, 2) stab incision, 3) inferior traction, and 4) tube insertion. This streamlined method is simple and quick. Because the operator's body position and hand movements (steps 3 and 4) are similar to those in orotracheal intubation, there is a feeling of familiarity that enhances retention of the procedure. The steps are illustrated and 4 cases using this technique are reported. Since the hands at each step are stabilized on the patient and no special equipment is needed, this technique also may be ideal for the out- of-hospital environment.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1060-1063 |
| Number of pages | 4 |
| Journal | Academic Emergency Medicine |
| Volume | 3 |
| Issue number | 11 |
| State | Published - Nov 1996 |
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Keywords
- airway
- cricothyrotomy
- medical education
- procedure
- technique
ASJC Scopus subject areas
- Emergency Medicine
Cite this
An easy cricothyrotomy approach : The rapid four-step technique. / Brofeldt, Bo Tomas; Panacek, Edward A; Richards, John R.
In: Academic Emergency Medicine, Vol. 3, No. 11, 11.1996, p. 1060-1063.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - An easy cricothyrotomy approach
T2 - The rapid four-step technique
AU - Brofeldt, Bo Tomas
AU - Panacek, Edward A
AU - Richards, John R
PY - 1996/11
Y1 - 1996/11
N2 - A simplified 4-step cricothyrotomy technique is described. The procedure can be completed in <30 seconds without use of suction or additional light source. The only equipment needed is a 20 scalpel, a tracheal hook with a large radius, and a cuffed tracheostomy tube. The 4 steps are: 1) palpation, 2) stab incision, 3) inferior traction, and 4) tube insertion. This streamlined method is simple and quick. Because the operator's body position and hand movements (steps 3 and 4) are similar to those in orotracheal intubation, there is a feeling of familiarity that enhances retention of the procedure. The steps are illustrated and 4 cases using this technique are reported. Since the hands at each step are stabilized on the patient and no special equipment is needed, this technique also may be ideal for the out- of-hospital environment.
AB - A simplified 4-step cricothyrotomy technique is described. The procedure can be completed in <30 seconds without use of suction or additional light source. The only equipment needed is a 20 scalpel, a tracheal hook with a large radius, and a cuffed tracheostomy tube. The 4 steps are: 1) palpation, 2) stab incision, 3) inferior traction, and 4) tube insertion. This streamlined method is simple and quick. Because the operator's body position and hand movements (steps 3 and 4) are similar to those in orotracheal intubation, there is a feeling of familiarity that enhances retention of the procedure. The steps are illustrated and 4 cases using this technique are reported. Since the hands at each step are stabilized on the patient and no special equipment is needed, this technique also may be ideal for the out- of-hospital environment.
KW - airway
KW - cricothyrotomy
KW - medical education
KW - procedure
KW - technique
UR - http://www.scopus.com/inward/record.url?scp=0029807589&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0029807589&partnerID=8YFLogxK
M3 - Article
C2 - 8922017
AN - SCOPUS:0029807589
VL - 3
SP - 1060
EP - 1063
JO - Academic Emergency Medicine
JF - Academic Emergency Medicine
SN - 1069-6563
IS - 11
ER -