Cricothyrotomy

Question 1

Indikationer

Answer 1

– Inability to ventilate with endo-tracheal tube or
supraglottic device
Severe maxillofacial injury
– Gross distorsion
Foreign body
Massive edema – cats and brachycephalics
Hemorrhage

Question 2

Forklar nogen negative sider ved trachetomy

Answer 2

Anatomy less defined
Entry site more covered
More difficult to fixate
Easily compressable

Question 3

Hvornår og hvorfor anvende cricothyrotomy

Answer 3

Emergency cricothyrotomy
Anatomy better defined
Entry site readily accessible
– Cricothyroid ligament
Easier to fixate
More resistant to compression

Question 4

Komplikationer ved emergency cricothyrotomy

Answer 4

Complications
– Incorrect tube placement
– Blood aspiration
– Esophageal loaceration
– Hematoma formation
– Tracheal wall perforation
– Vocal cord lesion
– Obstructed tube