The Technique of Tracheotomy and Cricothyroidotomy. When to Operate--And How to Manage Complications

J Crit Illn. 1995 Aug;10(8):561-8.

Abstract

Tracheotomy can relieve upper airway obstruction, improve pulmonary hygiene, and support long-term mechanical ventilation. Consider performing a tracheotomy whenever the need for more than 14 days of ventilatory support is anticipated. When emergent airway access is needed and translaryngeal intubation is not possible, consider cricothyroidotomy. For a tracheotomy, make a transverse incision 1 cm above the suprasternal notch or, for cricothyroidotomy, through the superficial cricothyroid membrane. Accidental tube displacement within 5 days of surgery is potentially tracheotomy's most lethal early complication. Many late complications can be prevented by careful management and expert nursing support.

Publication types

  • Review

MeSH terms

  • Airway Obstruction / surgery*
  • Contraindications
  • Cricoid Cartilage / surgery*
  • Humans
  • Respiration, Artificial
  • Time Factors
  • Tracheotomy / adverse effects
  • Tracheotomy / methods*