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Old 08-17-2012
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Anatomy Airway Anatomy Below the vocal cords!

A patient is brought into the Emergency Room in respiratory distress. It is quickly decided to create an emergency airway to restore respiration. At what level could you rapidly create an airway below the vocal cords with a minimum danger of hemorrhage?
A) Just above the jugular notch
B) Just above the thyroid cartilage
C) Just below the cricoid cartilage
D) Just below the thyroid cartilage
E) Through the 3rd tracheal ring
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Old 08-17-2012
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D) Just below the thyroid cartilage (cricothyrotomy)
Cricothyrotomy is nearly always performed as a last resort in cases where orotracheal and nasotracheal intubation are impossible or contraindicated. Cricothyrotomy is easier and quicker to perform than tracheotomy, does not require manipulation of the cervical spine, and is associated with fewer complications.

A cricothyrotomy is generally performed by making a vertical incision on the skin of the neck just below the "Adam's apple", or thyroid cartilage, then making another transverse incision in the cricothyroid membrane which lies deep to this point
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The above post was thanked by:
magsMD (10-12-2013), sruthi (08-17-2012), venky2600 (08-17-2012), yarasara77 (08-30-2012)



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