Needle Cricothyroidotomy 2 - Hatem Alsrour
Needle Cricothyroidotomy 2 - Hatem Alsrour
Needle Cricothyroidotomy 2 - Hatem Alsrour
College of Nursing
NEEDLE
CRICOTHYROIDOTOMY
Hatem Alsrour
DEFINITION
• Needle Cricothyroidotomy - the introduction
of an over-the-needle catheter device into
the cricothyroid membrane to provide a
temporary airway and oxygenation
OBJECTIVES
At the completion of this lecture the participant will be able to:
Cricothyroid
Membrane
SURROUNDING
STRUCTURES
• Thyroid cartilage
• Thyroid gland
• Parathyroid glands
LANDMARKS
Locate the superior
aspect of the thyroid
cartilage (prominence
on the anterior neck)
• Additional blood
vessels that feed
into the thyroid
gland
COMPLICATIONS
• Penetration of adjacent structures
(esophagus)
• Subcutaneous emphysema
• Swelling
• Severe bleeding
• Damage to the larynx
• Injury to the thyroid and parathyroid
glands
EQUIPMENT
• Personal protective equipment
• Emergency Transtracheal Airway
Catheter
• ENK Flow Modulator
• 10 cc syringe
• Alcohol prep
• 02 tank capable of delivering 30-60 psi
• Cloth or silk tape
EQUIPMENT (con’t)
• Emergency
Transtracheal
Airway Catheter
– The ribbing on the
catheter keeps it
from collapsing or
kinking
• ENK Flow
Modulator
and pressure
adapter
• Connect to 15 L of 02 (1)
• Covering and
uncovering the holes (3)
allows for oxygen
movement in and out of (2)
the lungs (2)
• Medication can be
administered through (1)
the port into the trachea
(3)
• The needle and modulator will come
prepackaged
• DO NOT LET GO
OF THE
CATHETER
• Assess the patient’s ABCs
– do not expect to see significant rise and fall
of the chest wall