Pediatrics Surgical Airway - Percutaneous Cricothyrotomy - Procedure Checklist Supply Checklist: • Sterile gloves, chlorhexidine • Lidocaine with epi • 3-5mL syringe • Angiocath Set up: • 7.5 ETT Connector (or 7.0) • 3mL syringe (plunger out) • 14 gauge angiocath (can use catheter-over-neede in central line kit; cannot use autoguard needles) • Bag-Valve-Mask (BVM) Steps: 1. Landmark CTM. 2. Clean skin. 3. Local anesthetic PRN. 4. Connect IV cannula to syringe. 5. Stabilize CTM membrane with hand. 6. Insert IV cannula+syringe through CTM at 45° angled caudally. 7. Advance while aspirating until pop + air in syringe - you are in trachea! 8. Slide plastic IV cannula into trachea until hub reaches skin. 9. Remove needle and syringe. 10. Confirm placement: connect syringe to angiocath and aspirate air. 11. Angiocath Set Up: connect angiocath-syringe-ETTConnector-BVM. 12. Ventilate with 1:4 I:E Ratio. 13. Secure Angiocath in place. 14. Make plan for definitive airway. This is a temporizing measure. - Dr. Sarah Foohey @SarahFoohey #Percutaneous #Cricothyrotomy #Surgical #Airway #Procedure #Checklist #Pediatrics #peds #supplies #supply
