CRICOTHYROIDOTOMY

index

table of contents

my operations

How I did It?

Operative Technique

Ø      Patient supine

Ø      Folded sheet placed under shoulders

Ø      Neck extended

Ø      Asepsis and antisepsis

Ø      Sterile drapes placed

Ø      Cricothyroid space accurately located

Ø      Line of incision infiltrated with local anesthesia (lidocaine)

Ø      Transverse incision made in the cricothyroid space carried from skin down to the cricothyroid membrane

Ø      Bleeders suture ligated

Ø      Stab incision made on cricothyroid membrane

Ø      Stab wound enlarged, spreading the tissues transversely until the opening is sufficient enough to insert a low-pressure cuff tracheostomy tube

Ø      Tube fixed in place  

Ø      Sterile dressing