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Thorac Surg Clin. 2018 Aug;28(3):435-440. doi: 10.1016/j.thorsurg.2018.04.009.

Cricothyroid Approach for Emergency Access to the Airway.

Author information

1
Department of Thoracic & Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, 9500 Euclid Avenue, J4-1, Cleveland, OH 44195, USA. Electronic address: bribria@ccf.org.
2
Division of Cardiothoracic Surgery, Washington University in St. Louis, 660 South Euclid, Campus Box 8234, St Louis, MO 63110, USA.

Abstract

Airway emergencies are life-threatening events that face providers of many different backgrounds. In cannot-intubate-cannot-ventilate situations, emergent access to the airway can be obtained through the cricothyroid membrane by cricothyroidotomy. The 3 main techniques are open, percutaneous, and needle cricothyroidotomy. To date, there is no compelling evidence demonstrating superiority of a particular approach. Ultimately, the method used for cricothyroidotomy should be based on the comfort and experience of the provider performing the procedure.

KEYWORDS:

Airway emergency; Cricothyroidotomy; Cricothyrotomy surgical airway

PMID:
30054081
DOI:
10.1016/j.thorsurg.2018.04.009
[Indexed for MEDLINE]

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