60
/100
Combined Rating
60 /100
General Rating
+
General rating
60 /100
4 Ratings
Surgery General Rating
100 /100
Anesthesiology General Rating
57 /100

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Surgery
Anesthesiology
Video
02 mins 02 secs
598 Views
Publication Info
Publication Text
Author(s)
Comments
Publication Info
Received
4/19/2012 6:38:49 PM
Published
4/19/2012 7:01:57 PM
Copyright
(c) 2018 JavMed. All Rights Reserved
License
Author(s)
Barys Ihnatsenka, Md
Conflicts of interest
No conflicts declared by this author
Source of funding
none
Aaron Seller, Mr
Conflicts of interest
No conflicts declared by this author
Source of funding
None
Publication Text
Description

Use of Melker cricothyroidotomy for emergent surgical airway

Introduction

1. POSTION: If time allows place the patient in slight cervical hyperextension position

2. KIT PREPARATION: Open the kit, identify the scalpel, place the inner cannula/dilator into the tracheostomy, attach a saline-filled syringe to the provided needle

3. Find the cricothyroid membrane and make a vertical cut using the scalpel

4. Through this incision, advance the needle while aspirating on the syringe until air bubbles are seen within the syringe indicating you have entered the trachea

5. Remove the syringe, but leave the needle in place.

6. Thread the guidewire through the needle, with the soft flexible end first

7. Advance the tracheostomy unit with the dilator over the guidewire into the trachea

8. Once in proper postion, remove the guidewire and secure the tracheostomy in place, then attach the circuit to ventilate

Comments
David A Edwards, MdPhD 11/08/2012 05:55 PM
Great job Aaron and Barys