Image Based Question – 66684

Identify the procedure performed on a patient as shown in the image.

A. Cricothyroidotomy

B. Tracheostomy

C. Endotracheal intubation

D. Hyodotomy

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Correct Answer » A Explanation

Ans:A. Cricothyroidotomy.

Cricothyrotomy

• A cricothyrotomy (also called thyrocricotomy, cricothyroidotomy, inferior laryngotomy, intercricothyrotomy, or emergency airway puncture) is an incision made through the skin and cricothyroid membrane to establish a patent airway during certain life-threatening situations, such as airway obstruction by a foreign body, angioedema, or massive facial trauma.

• Cricothyrotomy is nearly always performed as a last resort in cases where orotracheal and nasotracheal intubation are impossible or contraindicated.

• Cricothyrotomy is easier and quicker to perform than tracheotomy, does not require manipulation of the cervical spine, and is associated with fewer complications.

• There are 3 main approaches to cricothyroidotomy: needle cricothyroidotomy, percutaneous cricothyroidotomy using the Seldinger technique, and surgical cricothyroidotomy.

• However, while cricothyrotomy may be life-saving in extreme circumstances, this technique is only intended to be a temporizing measure until a definitive airway can be established.