To install click the Add extension button. That's it.

The source code for the WIKI 2 extension is being checked by specialists of the Mozilla Foundation, Google, and Apple. You could also do it yourself at any point in time.

4,5
Kelly Slayton
Congratulations on this excellent venture… what a great idea!
Alexander Grigorievskiy
I use WIKI 2 every day and almost forgot how the original Wikipedia looks like.
Live Statistics
English Articles
Improved in 24 Hours
Added in 24 Hours
Languages
Recent
Show all languages
What we do. Every page goes through several hundred of perfecting techniques; in live mode. Quite the same Wikipedia. Just better.
.
Leo
Newton
Brights
Milds

Surgical airway management

From Wikipedia, the free encyclopedia

Surgical airway management
In cricothyrotomy, the incision or puncture is made through the cricothyroid membrane in between the thyroid cartilage and the cricoid cartilage
ICD-9-CM31.1-31.3

Surgical airway management (bronchotomy[1] or laryngotomy) is the medical procedure ensuring an open airway between a patient’s lungs and the outside world. Surgical methods for airway management rely on making a surgical incision below the glottis in order to achieve direct access to the lower respiratory tract, bypassing the upper respiratory tract. Surgical airway management is often performed as a last resort in cases where orotracheal and nasotracheal intubation are impossible or contraindicated. Surgical airway management is also used when a person will need a mechanical ventilator for a longer period. The surgical creation of a permanent opening in the larynx is referred to as laryngostomy. Surgical airway management is a primary consideration in anaesthesia, emergency medicine and intensive care medicine.

Surgical methods for airway management include cricothyrotomy and tracheostomy

YouTube Encyclopedic

  • 1/3
    Views:
    226 400
    9 762
    13 419
  • Emergency Surgical Airway - Cricothyroidotomy
  • Emergency Surgical Airway By Weingart
  • Lesson 8 - Surgical Airway: MICU Fellows Airway Course

Transcription

History

Asclepiades of Bithynia is credited with being the first person who proposed bronchotomy as a surgical procedure, though he never attempted to perform one.[2] Aretaeus of Cappadocia thought the procedure dangerous even as a remedy for choking, since the resulting incision "would not heal, as being cartilaginous"; Caelius Aurelianus also rejected its usefulness.[2]

Cricothyrotomy

A cricothyrotomy 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.[3] A 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.[4]

Needle cricothyrotomy

Cricothyrotomy kit

A needle cricothyrotomy is similar to a cricothyrotomy, but instead of making a scalpel incision, a large over-the-needle catheter is inserted (10- to 14-gauge). This is considerably simpler, particularly if using specially designed kits. This technique provides very limited airflow. The delivery of oxygen to the lungs through an over-the-needle catheter inserted through the skin into the trachea using a high pressure gas source is considered a form of conventional ventilation called percutaneous transtracheal ventilation (PTV).

Tracheotomy

A tracheotomy is a surgically created opening from the skin of the neck down to the trachea.[5] A tracheotomy may be considered where a person will need to be on a mechanical ventilator for a longer period.[5] The advantages of a tracheotomy include less risk of infection and damage to the trachea such as tracheal stenosis.[5]

See also

References

  1. ^ Chisholm, Hugh, ed. (1911). "Bronchotomy" . Encyclopædia Britannica. Vol. 4 (11th ed.). Cambridge University Press. p. 636.
  2. ^ a b "Chirurgia". A Dictionary of Greek and Roman Antiquities. penelope.uchicago.edu. Retrieved 2012-09-20.
  3. ^ Mohan, R; Iyer, R; Thaller, S (2009). "Airway management in patients with facial trauma". Journal of Craniofacial Surgery. 20 (1): 21–3. doi:10.1097/SCS.0b013e318190327a. PMID 19164982.
  4. ^ Katos, MG; Goldenberg, D (2007). "Emergency cricothyrotomy". Operative Techniques in Otolaryngology. 18 (2): 110–4. doi:10.1016/j.otot.2007.05.002.
  5. ^ a b c Gomes Silva, B. N.; Andriolo, R. G. B.; Saconato, H.; Atallah, Á. N.; Valente, O. (2012). Gomes Silva, Brenda Nazaré (ed.). "Early versus late tracheostomy for critically ill patients". The Cochrane Database of Systematic Reviews. doi:10.1002/14651858.CD007271.pub2.
This page was last edited on 11 February 2023, at 23:24
Basis of this page is in Wikipedia. Text is available under the CC BY-SA 3.0 Unported License. Non-text media are available under their specified licenses. Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc. WIKI 2 is an independent company and has no affiliation with Wikimedia Foundation.