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Alternative Names Return to top
Needle cricothyrotomyDefinition Return to top
Emergency airway puncture is an emergency insertion of a hollow needle into the airway (larynx). It is used to treat life-threatening choking.
Description Return to top
In an emergency situation, when someone is choking and all other efforts to assist with breathing have failed, a hollow needle can be inserted into the throat, just below the Adam's apple (cricoid cartilage). In hospital settings, a small skin incision may be made before inserting the needle or tube.
Why the Procedure is Performed Return to top
A cricothyrotomy is recommended as an emergency procedure to relieve an airway obstruction until surgical placement of a breathing tube (tracheostomy) can be done.
Risks Return to top
Risks for any surgery are:
Additional risks include trauma to the larynx, thyroid gland, or esophagus.
After the Procedure Return to top
Emergency airway puncture (cricothyrotomy) can be quite effective in relieving an airway obstruction.
Outlook (Prognosis) Return to top
See: Tracheostomy
References Return to top
Marx J. Rosen???s Emergency Medicine: Concepts and Clinical Practice. 6th ed. St. Louis, Mo: Mosby; 2006.
Roberts JR, Hedges JR. Clinical Procedures in Emergency Medicine. 4th ed. Philadelphia, Pa: WB Saunders; 2004.
Update Date: 7/25/2007 Updated by: James L. Demetroulakos, M.D., F.A.C.S., Department of Otolaryngology, North Shore Medical Center, Salem, MA. Clinical Instructor in Otology and Laryngology, Harvard Medical School. Review provided by VeriMed Healthcare Network.
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