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Needle Cric
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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
ID
79452
Card Set
Needle Cric
Description
Lab Manua
Updated
2011-04-13T23:49:37Z
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