1. Identify the thyroid cartilage and the cricothyroid membrane directly caudally.
2. Cleanse skin surface with appropriate antibacterial medication.
3. Anesthetize skin surface with 1% lidocaine.
4. While stabilizing the trachea with the gloved nondominant hand, make a vertical incision through the skin overlying the cricothyroid membrane.
5. Dissect the tissues over the cricothyroid membrane in a horizontal direction, until the cricothyroid membrane is exposed.
6. Incise the cricothyroid membrane horizontally and insert a tracheal hook to stabilize and control the trachea.
7. If a tracheal dilator is available, insert it into the trachea to dilate and control the trachea to facilitate tube insertion.
Insert a cuffed tracheostomy tube, or a 6.0 ID endotracheal tube.
9. Inflate cuff and initiate ventilation. Figure 22.88.
Incision over Cricothyroid Membrane. Stabilize the proximal trachea; make a vertical incision over the cricothyroid membrane. (Photo contributor: Lawrence B. Stack, MD.)
Was this article helpful?
Ever wondered what Chinese medicine is all about and whether it works? Thinking about consulting a practitioner but want to know some facts first? Look no further! Here's your chance to purchase an in depth and fully comprehensive eBook on anything and everything to do with this ancient philosophy.