Cite this post as:
Scott Weingart, MD FCCM. Even More on Surgical Cricothyrotomies. EMCrit Blog. Published on March 31, 2012. Accessed on April 20th 2024. Available at [https://emcrit.org/emcrit/rams-surg-cric/ ].
Financial Disclosures:
Dr. Scott Weingart, Course Director, reports no relevant financial relationships with ineligible companies.
This episode’s speaker(s), (listed above), report no relevant financial relationships with ineligible companies.
CME Review
Original Release: March 31, 2012
Date of Most Recent Review: Jan 1, 2022
Termination Date: Jan 1, 2025
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love it! If I could I would mainline this stuff or directly inject it into my brain. cant get enough off this material on surgical airway technique. Similar issues get discussed…needle vs knife…horizontal vs vertical incision. Interesting Dr Fung advises using a needle and syringe to locate airway if trouble finding it which actually is an advantage of the percutaneous technique. But totally agree to keep things very simple and use minimum equipment. I believe retractors are even a luxury. prob the Kelly or forceps as well. I am participating in a surgical airway wet lab later this month in… Read more »
As well, the videos are all released as Creative Commons, which makes them easy to remix, reuse and distribute. I can’t wait until somebody makes a ‘best of’ collection and posts it.
tarek : )
I really don’t like the method displayed on this video… the incision is *WAY* too small. In an obese person, in a trauma patient with in-line neck stabilization, and especially in a patient where you’re doing the cric in the heat of the moment, having a small incision like this puts you at way too much risk for actually putting the boogie or ET tube INTO a false lumen. I like the idea of an vertical incision…. but it MUST be larger and give enough room to HORIZONALLY cut into the cricothyromembrane and also be large enough so you can… Read more »
Must say I agree with all Leon has expressed. Dainty, pretty incisions are for elective situations. It has been the main source of chest tube misplacement and causes similar problems with crics. I go from the bottom of the thyroid to the bottom of the cricoid.
Some would argue that the main role of the anesthetist, apart from keeping the patient alive, is to tell the surgeon to cut a bigger hole so that the operation will be over quicker…
C
spoken like a true surgeon! If in trouble, extend the incision..I like your style! You must consider the psychology of surgical airways though. This is the assassins territory, cutting the throat is often equated with killing someone as opposed to a life saving procedure. Many will hesitate, particularly if they are not used to wielding scalpels on a daily basis. I have seen a vertical incision from the sternal notch right to the floor of the mouth. It looks like a bloody mess but it can all be repaired in the OT. And that patient made a full recovery. For… Read more »
Scott & Minh,
I just wanted to let you two know that you both just received some mad props in a Surgical Airway lecture by William Hinckley, MD at CCTMC.
Robert
very sweet!
Robert, thanks for the kind words, for attending the Critical Care Transport Medicine Conference, and for doing what you do. Great to meet you today. Scott and Minh, you guys are missing out. Love to see you at this conference next year in Austin, TX, April 8-10, 2013!
cool. thanks guys
Excellent review and training material. Thanks again Dr. Weingart.
can you down load this in pod cast form?. did i miss it?