Needle Cric

Beginning Steps

PPE
Beginning Steps

place pt supine and hyperextends neck in no cervical trauma suspected
Beginning Steps

positions at pt sid and directs assistant to attempt ventilations with 100% oxygen
Equipment

prepares equipment, attaches large bore needle with catheter to 10-20 ml syringe
Preparation

palpates thyroid cartilage and cricoid cartilage
Preparation

identifies and places finger on cricothyroid membrane
Preparation

maintaining placement cleanse site
Preparation

firmly grasps laryngeal cartilages and reconfirms CTM
Procedure

inserts needle into CTM at midline directed 45 degree caudally
Procedure

advances needle 1 cm and aspirates with syringe
Procedure

confirms placement and advances catheter while withdrawing needle and syringe unit
Procedure

reconfirms placement and secures catheter in place(does not release catheter)
Procedure
- checks ventilations
- chest rise/fall
- bilateral breath sounds
Procedure
- jet vent if ventilations are inadequate
- watches chest rise carefully
- verbalize problem with c02 retention
Final Steps

continues ventilatory support, assessing for adequacy of ventilations and complications
Final Steps

assesses pt response to intervention

Author

johnnyb0y488

79452

Card Set

Needle Cric

Description

Lab Manua

Updated

2011-04-13T23:49:37Z

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