Needle cricothyrotomy

  1. Prepare appropriate equipment (chlorhexidine, 14g IV cath/3 mL syringe/7.0 ETT adapter or 14g IV catheter/3.0 ETT adapter and BVM)
  2. Clean neck
  3. Identify landmarks by palpation
  4. Insert IV catheter at an appropriate angle downward into the cricothyroid membrane (45 degrees to skin, towards feet)
  5. Aspirate continuously while advancing catheter (until there is a return of air into the syringe)
  6. Slide catheter over the needle into the trachea
  7. Withdraw needle
  8. Attach the hub of the catheter to an appropriate adapter
  9. Ventilate with BVM
  10. Assess oxygenation