Cricothyrotomy

From greek.doctor
  • Cricothyrotomy, also called coniotomy
  • In case of upper airway obstruction with unsuccessful intubation
  • Airway is opened through cricothyroid ligament between the thyroid and cricoid cartilage
  • Should be converted to tracheotomy when possible
  • Indications
    • Angioedema
    • Foreign body in upper airway
    • Severe facial trauma
  • Procedure
    • Transverse surgical incision into skin between thyroid and cricoid cartilages
    • Incision through skin, spf cervical fascia, deep cervical fascia, pre-tracheal fascia, median cricothyroid ligament
    • Insertion of catheter