Airway - Needle Cricothyrotomy

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Airway - Needle Cricothyrotomy

<= span style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Clin= ical Indications:

______ 1. Failed airway protocol.

______ 2. Management of an airway when standard airway procedures cannot be accomplished or have failed in a patient 8 years or yo= unger.

<= span style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Proc= edure:

______ 1. Have suction equipment available and ready.<= /o:p>

______ 2. Locate the cricothyroid membrane utilizing correct anatomical landmarks.

______ 3. Using your non-dominant hand, secure the membrane= .

______ 4. Prep the area with Betadine<= /span>.

______ 5. Using a syringe and needle system (5cc syringe attached to a 10 to 14 gauge catheter-over-needle) insert the needle through the cricothyroid membrane at a 45° to = 60° ang= le caudally (toward the feet).

______ 6. Aspirate for air with the syringe while inserting= the needle.

______ 7. Once air returns easily, stop advancing the devic= e.

______ 8. Attach jet ventilation device. If jet ventilation is not availabl= e, attach the BVM to the barrel of the existing 5cc syringe (after removing the stopper) or replace with a 3cc syringe barrel and attach the BVM and ventilate. =

______ 9. Assess breath sounds while ventilating patient. M= ake certain that ample time is used not only for inspiration but expiration as well. Remember that a 1:4 inspiration/expiration ratio is normal.

______ 10. Secure the needle by the best method available, recognizing that this method may be direct hands-on control of the device throughout the transport.

______ 11. If unable to obtain an adequate airway, resume ba= sic airway management and transport the patient as soon as possible.=

______ 12. Notify the receiving facility as soon as possible= .

______ 13. Document time, procedure, confirmation, and chang= e in patient’s condition in the electronic PCR.

<= span style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Cert= ification Requirements:

Succ= essfully complete a biannual evaluation including the indications, contraindications, technique, and possible complications of the procedure.

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