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Previous Volume 358:e25 May 29, 2008 Number 22 Next

	Since this article has no abstract, below are the first 100 words from the narration of this Video in Clinical Medicine and its chapter headings.

 

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View Video Indications Cricothyroidotomy is an emergent procedure performed on patients experiencing severe respiratory distress in whom orotracheal or nasotracheal intubation has failed. The procedure involves making an incision in the cricothyroid membrane, which lies between the thyroid and cricoid cartilages, followed by inserting a tracheostomy tube, which allows ventilation. This video describes how to perform a cricothyroidotomy in an adult. The major indication for cricothyroidotomy is the inability to establish an airway by orotracheal or nasotracheal intubation. Failure to secure an orotracheal or nasotracheal airway may be due to factors such as difficult patient anatomy; excessive blood in the mouth or . . . . Chapters: Overview Indications Contraindications Preparation Procedure Complications Postprocedural Care

 
References

1. Bair AE, Filbin MR, Kulkarni RG, Walls RM. The failed intubation attempt in the emergency department: analysis of prevalence, rescue techniques, and personnel. J Emerg Med 2002;23:131-140. [Erratum, J Emerg Med 2002;23:325.] [CrossRef][Web of Science][Medline]
2. Bushra JS, McNeil B, Wald DA, Schwell A, Karras DJ. A comparison of trauma intubations managed by anesthesiologists and emergency physicians. Acad Emerg Med 2004;11:66-70. [Web of Science][Medline]
3. Erlandson MJ, Clinton JE, Ruiz E, Cohen J. Cricothyrotomy in the emergency department revisited. J Emerg Med 1989;7:115-118. [CrossRef][Medline]
4. Bair AE, Panacek EA, Wisner DH, Bales R, Sakles JC. Cricothyrotomy: a 5-year experience at one institution. J Emerg Med 2003;24:151-156. [CrossRef][Web of Science][Medline]
5. Esses BA, Jafek BW. Cricothyroidotomy: a decade of experience in Denver. Ann Otol Rhinol Laryngol 1987;96:519-524. [Web of Science][Medline]
6. Sise MJ, Shackford SR, Cruickshank JC, Murphy G, Fridlund PH. Cricothyroidotomy for long-term tracheal access: a prospective analysis of morbidity and mortality in 76 patients. Ann Surg 1984;200:13-17. [Web of Science][Medline]
7. Gens DR. Surgical airway management. In: Tintinalli JE, Kelen GD, Stapczynski JS, eds. Emergency medicine: a comprehensive study guide. 6th ed. New York: McGraw-Hill, 2004:119-24.

Related Letters:

Cricothyroidotomy
Jenvrin J., Pean D., Libert N., Leclerc T., De Rudnicki S., Braude D. A., McLaughlin S.
Extract | Full Text | PDF  
N Engl J Med 2008; 359:1073-1074, Sep 4, 2008. Correspondence

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