Abstract
Cricothyroidotomy is the quickest and safest procedure to obtain an adequate airway in a patient in whom intubation has failed. Cricothyroidotomy is a relatively straightforward procedure with a high success rate in those with adequate training. In an emergency setting, this procedure is the first-line therapy. However, as an elective procedure, cricothyroidotomy is only appropriate in some cases, most notably in those without antecedent intubation or laryngeal pathology. There are a number of techniques for cannulating the airway through the cricothyroid membrane, including needle cricothyroidotomy, open surgical approach, and percutaneous dilational cricothyroidotomy.
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Bair AE, Panacek EA, Wisner DH, et al. Cricothyroidotomy: a 5-year experience at one institution. J Emerg Med. 2003;24:151–6.
Boon JM, Abrahams PH, Meiring JH, et al. Cricothyroidotomy: a clinical anatomy review. Clin Anat. 2004;17:478–86.
Brantigan CO, Grow JB. Cricothyroidotomy: elective use in respiratory problems requiring tracheotomy. J Thorac Cardiovasc Surg. 1976;71(1):72–81.
Brantigan CO, Grow JB. Subglottic stenosis after cricothyroidotomy. Surgery. 1982;91(2):217–21.
Brofeldt BT, Panacek EA, Richards JR. An easy cricothyroidotomy approach: the rapid four-step technique. Acad Emerg Med. 1996;3(11):1060–3.
Burkey B, Esclamado R, Morganroth M. The role of cricothyroidotomy in airway management. Clin Chest Med. 1991;12(3):561–71.
Cole RR, Aguilar EA. Cricothyroidotomy versus tracheotomy: an otolaryngologist’s perspective. Laryngoscope. 1988;98:131–5.
Davis DP, Bramwell KJ, Vilke GM, et al. Cricothyroidotomy technique: standard versus the rapid four-step technique. J Emerg Med. 1999;17(1):17–21.
Esses BA, Jafek BW. Cricothyroidotomy: a decade of experience in Denver. Ann Otol Rhinol Laryngol. 1987;96:519–24.
Fikkers BG, van Vugt S, van der Hoeven JG, et al. Emergency cricothyroidotomy: a randomized crossover trial comparing the wire-guided and catheter-over-needle techniques. Anaesthesia. 2004;59:1008–11.
Gibbs MA, Walls R. Surgical airway. In: Hagberg CA, editor. Benumof’s airway management. 2nd ed. Philadelphia: Mosby Elsevier; 2009. p. 678–96.
Gillespie MB, Eisele DW. Outcomes of emergency surgical airway procedures in a hospital-wide setting. Laryngoscope. 1999;109(11):1766–9.
Goldenberg D, Ari EG, Golz A, et al. Tracheotomy complications: a retrospective study of 1130 cases. Otolaryngol Head Neck Surg. 2000;123(4):495–500.
Holmes JF, Panacek EA, Sakles JC, et al. Comparison of 2 cricothyroidotomy techniques: standard method versus rapid 4-step technique. Ann Emerg Med. 1998;32(4):442–6.
Hsiao J, Pacheco-Fowler V. Videos in clinical medicine: cricothyroidotomy. N Engl J Med. 2008;358(22):e25.
Jackson C. Tracheotomy. Laryngoscope. 1909;18:285.
Jackson C. High tracheostomy and other errors: the chief cause of chronic laryngeal stenosis. Surg Gynecol Obstet. 1921;32:392.
McGill J, Clinton JE, Ruiz E. Cricothyroidotomy in the emergency department. Ann Emerg Med. 1982;11(7):361–4.
Melker RJ, Kost KM. Percutaneous dilational cricothyroidotomy and tracheostomy. In: Hagberg CA, editor. Benumof’s airway management. 2nd ed. Philadelphia: Mosby Elsevier; 2009. p. 640–77.
American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 2003;98(5):1269–77.
Rehm CG, Wanek SM, Gagnon EB, et al. Cricothyroidotomy for elective airway management in critically ill trauma patients with technically challenging neck anatomy. Crit Care. 2002;6(6):531–5.
Schaumann N, Lorenz V, Schellongowsky P, et al. Evaluation of Seldinger technique: emergency cricothyroidotomy vs standard surgical cricothyroidotomy in 200 cadavers. Anesthesiology. 2005;102:7–11.
Schober P, Hegemann MC, Schwarte LA, et al. Emergency cricothyroidotomy – a comparative study of different techniques in human cadavers. Resuscitation. 2009;80(2):204–9.
Scrase I, Woollard M. Needle vs surgical cricothyroidotomy: a short cut to effective ventilation. Anaesthesia. 2006;61:962–74.
Sise MJ, Shackford SR, Cruickshank JC, et al. Cricothyroidotomy for long-term tracheal access: a prospective analysis of morbidity and mortality in 76 patients. Ann Surg. 1984;200:13–7.
Talving P, DuBose J, Inaba K, et al. Conversion of emergent cricothyroidotomy to tracheotomy in trauma patients. Arch Surg. 2010;145(1):87–91.
Weymuller EA, Cummings CW. Cricothyroidotomy: the impact of antecedent endotracheal intubation. Ann Otol Rhinol Laryngol. 1982;91:437–9.
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Silverman, J.B. (2013). Cricothyroidotomy. In: Ernst, A., Herth, F. (eds) Principles and Practice of Interventional Pulmonology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4292-9_67
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DOI: https://doi.org/10.1007/978-1-4614-4292-9_67
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