Tracheostomy and Cricothyroidotomy Siting

Question: What two key structures in Fig 1a do you first need to identify for the correct siting of a cricothyroidotomy?

Answer

Question: What two key structures in Fig 1a do you first need to identify for the correct siting of a cricothyroidotomy?

Answer: The thyroid cartilage followed by the cricoid cartilage (Fig 1b). Extension of the neck may be helpful in identifying these two structures.

Question: What is the next landmark if you were performing a tracheostomy?

Answer

Fig 1 Male neck with cricoid and sternal notch identified

Question: What two key structures in Fig 1a do you first need to identify for the correct siting of a cricothyroidotomy?

Answer: The thyroid cartilage followed by the cricoid cartilage (Fig 1b). Extension of the neck may be helpful in identifying these two structures.

Question: What is the next landmark if you were performing a tracheostomy?

Answer: A line is drawn vertically from the sternal notch to the lower border of the cricoid cartilage (Fig 1c).

Question: A cross is marked approximately at the midpoint of this line. For a tracheostomy insertion, at what level should this cross be?

Answer

Fig 2 Male neck with cricoid and sternal notch identified. The cross marks the correct insertion point

Question: What two key structures in Fig 1a do you first need to identify for the correct siting of a cricothyroidotomy?

Answer: The thyroid cartilage followed by the cricoid cartilage (Fig 1b). Extension of the neck may be helpful in identifying these two structures.

Question: What is the next landmark if you were performing a tracheostomy?

Answer: A line is drawn vertically from the sternal notch to the lower border of the cricoid cartilage (Fig 1c).

Question: A cross is marked approximately at the midpoint of this line. For a tracheostomy insertion, at what level should this cross be?

Answer: Between the second and third tracheal rings (Fig 1d). This is the ideal position for insertion of a tracheostomy tube. The isthmus of the thyroid gland may lie across or just below this point.

Fig 3 Male neck with 2nd and 3rd tracheal rings identified