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    Emergency airway puncture

    Definition

    Emergency airway puncture is an emergency insertion of a hollow needle into the airway (larynx). It is used to treat life-threatening choking.

    Alternative Names

    Emergency airway puncture; Needle cricothyrotomy

    Description

    In an emergency situation, when someone is choking and all other efforts to assist with breathing have failed, a hollow needle can be inserted into the throat, just below the Adam's apple (cricoid cartilage). In hospital settings, a small skin incision may be made before inserting the needle or tube.

    Why the Procedure is Performed

    A cricothyrotomy is recommended as an emergency procedure to relieve an airway obstruction until surgical placement of a breathing tube (tracheostomy) can be done.

    Risks

    Risks for any surgery are:

    • Bleeding
    • Infection

    Additional risks include trauma to the larynx, thyroid gland, or esophagus.

    Outlook (Prognosis)

    Emergency airway puncture (cricothyrotomy) can be quite effective in relieving an airway obstruction.

    Recovery


    Review Date: 8/3/2005
    Reviewed By: Alden J. Pearl M.D., Clinical Assistant Professor, Department of Otolaryngology, State University of New York Health Science Center at Brooklyn, Brooklyn, NY. Review provided by VeriMed Healthcare Network.
    The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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