Episode 19: Plan D - Cric It While It's Hot

airway management Nov 01, 2020


Episode Summary

What's your plan D during an airway crisis? In this episode of the APEX Live Anesthesia Podcast, we’ll discuss all things cricothyrotomy and give you everything you need to know if you ever need to use it in your practice.


What You'll Learn

  • What's the history of cricothyrotomy?
  • How often is emergency front of neck access (eFONA) required in clinical practice?
  • What are the indications for eFONA and FONA?
  • How do you perform cricothyrotomy?


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Recommended Resources

EMCrit 248 – How to Teach Surgical Airways–you knows, Crics: The One-Hour Cricothyrotomy Course.

Gustafson ML, Hensley B, Dotson M, Broce M, Tager A. Comparison of Manikin Versus Porcine Trachea Models When Teaching Emergent Cricothyroidotomy Among Emergency Medicine Residents. Cico SJ, ed. AEM Education and Training. April 2019:280-285.

Drew T, McCaul C. Laryngeal handshake technique in locating the cricothyroid membrane: a non-randomised comparative study. Br J Anaesth. 2018;121(5):1173-1178.

Anesthesia & Analgesia 2018, Volume 127 (6), p 1377–1382. Practice of Ultrasound-Guided Palpation of Neck Landmarks Improves Accuracy of External Palpation of the Cricothyroid Membrane. Anesthesiology December 2018, Volume 129 (6), 1132–1139.

EMCrit Wee – An Amazing (Wearable) Cric Trainer from Laura Duggan and the AirwayCollaboration Folks.

International Airway Collaboration

Cook TM, Woodall N, Frerk C; Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: Anaesthesia. Br J Anaesth. 2011 May;106(5):617-31.

McKenna P, Desai NM, Morley EJ. Cricothyrotomy. [Updated 2020 Aug 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537350/

Langvad S, Hyldmo PK, Nakstad AR, Vist GE, Sandberg M. Emergency cricothyrotomy--a systematic review. Scand J Trauma Resusc Emerg Med. 2013;21:43. Published 2013 May 31. doi:10.1186/1757-7241-21-43.

Poole O, Vargo M, Zhang J, Hung O. A comparison of three techniques for cricothyrotomy on a manikin. Can J Respir Ther. 2017 Spring;53(2):29-32. Epub 2017 May 1. PMID: 30996627; PMCID: PMC6422212.


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APEX Anesthesia Review, LLC and APEX Live expressly disclaim any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party.

Podcast music by Eino Toivanen, kongano.com


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