An emergency
procedure, needle cricothyrotomy involves puncturing the skin between the
cricoid and thyroid cartilages to access the trachea and establish an airway.
Also Known As:
- Emergency airway procedure
- Thyrocricotomy
- Cricothyroidotomy
- Emergency airway puncture
Conditions Treated with Needle
Cricothyrotomy:
A needle
cricothyrotomy may be performed in cases of anaphylaxis, failed oral and nasal
intubation, facial trauma and a foreign object blocking the airway.
There are no
comparable non-surgical alternatives to needle cricothyrotomy. Cricothyrotomy
is a surgical alternative to the procedure.
Anesthesia with Needle Cricothyrotomy:
No anesthesia is
used with needle cricothyrotomy. It is performed while the patient is
unconscious.
Potential Complications from Needle
Cricothyrotomy:
Possible risks
following needle cricothyrotomy include bleeding, thyroid membrane perforation,
larynx damage, laryngeal nerve injury, subglottic stenosis, tracheal stenosis,
pulmonary aspiration, esophageal fistula, fracture of thyroid cartilage and
hoarse voice.
Prognosis after Needle Cricothyrotomy:
The prognosis for a
positive end result following needle cricothyrotomy is very good.