Todd Fraser on 24-06-2013
We recently released our video outlining 3 commonly described emergency cricothyroidotomy methods, needle jet ventilation, percutaneous seldinger cricothyroidotomy and a surgical approach.
Many methods for this exist, and variations are as common as consultants!
What method do you use?
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My preference is surgical - vertical incision, blunt dissection, horizontal cut through the membrane, insert trachea dilator forceps and then direct insertion of the tube.
I've added the vodcast to YouTube - http://youtu.be/-50MKbBh5dw. Check it out and let me know what you think
I've only done one, but have witnessed 2 others. I used a horizontal incision, all in one, but it was in a reasonably thin person. After reflection on these 3 cases, I'd do the same, but if the patient was fat, would do a vertical incision through skin - landmarks are more identifiable after this so can find membrane easier, then do horizontal incision through membrane.
thanks Todd for video of surgical airway ! also thanks for the comments , folks!