Crichy! The Realities of Surgical Airway Access

Crichy! The Realities of Surgical Airway Access

Stephen Rahm

The pathway to mitigation of a true “can’t intubate, can’t oxygenate” situation is very short and very direct—a cricothyrotomy. Emergent surgical airway access via the cricothyroid membrane is a procedure that many paramedics will never perform in their career; are YOU the next one who will be faced with this task? The low-frequency, high-risk nature of this skill mandates absolute knowledge of the anatomy of the anterior neck, frequent practice, and procedural confidence. When cricothyrotomy fails, it is often the result of an inability to properly locate the anatomic structures of the larynx.

This presentation explores the realities of cricothyrotomy in a manner that you have likely never seen before. Utilizing high-resolution cadaveric images, the anterior neck will be procedurally dissected and critical anatomic structures will be identified. A step-by-step approach—based on the latest evidence and best practices—will be followed in order to maximize your success in performing this time-sensitive, final option procedure. No patient should go to the morgue (for lack of an airway) without a hole in their neck!

Session Objectives:

  1. Recognize a true “can’t intubate, can’t ventilate” situation.
  2. Identify key anatomic landmarks of the anterior neck and larynx.
  3. Describe the various barriers to gaining emergent surgical airway access.
  4. Describe the current best practices in gaining emergent surgical airway access.

Event Timeslots (1)

Sun 12/6 Cont.
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Stephen Rahm

The pathway to mitigation of a true “can’t intubate, can’t oxygenate” situation is very short and very direct—a cricothyrotomy. Emergent surgical airway access via the cricothyroid membrane is a procedure that many paramedics will never perform in their career; are YOU the next one who will be faced with this task? The low-frequency, high-risk nature of this skill mandates absolute knowledge of the anatomy of the anterior neck, frequent practice, and procedural confidence. When cricothyrotomy fails, it is often the result of an inability to properly locate the anatomic structures of the larynx.

This presentation explores the realities of cricothyrotomy in a manner that you have likely never seen before. Utilizing high-resolution cadaveric images, the anterior neck will be procedurally dissected and critical anatomic structures will be identified. A step-by-step approach—based on the latest evidence and best practices—will be followed in order to maximize your success in performing this time-sensitive, final option procedure. No patient should go to the morgue (for lack of an airway) without a hole in their neck!

Learner Objectives:

Recognize a true “can’t intubate, can’t ventilate” situation.

Identify key anatomic landmarks of the anterior neck and larynx.

Describe the various barriers to gaining emergent surgical airway access.

Describe the current best practices in gaining emergent surgical airway access.