Cricothyroidotomy (Adult)
 
Unconscious Pt unable to be oxygenated and ventilated using Bag and Mask, OP / NP airway, LMA or ETT where:
RSI has been attempted but intubation has not been achieved
RSI is not authorised
Massive facial trauma is present and RSI is considered unsafe due to the inability to undertake the failed intubation drill
RSI is not possible due to lack of intravenous access
Upper airway obstruction is present due to a pharyngeal or an impacted foreign body which is unable to be removed using manual techniques and Magill forceps
Partial airway obstruction is present and transport by Air Ambulance is required and expertise for alternative techniques are not available.
• Contraindications
- Nil in circumstances where oxygenation and ventilation are not possible using alternative techniques
       
• Perform Cricothyroidotomy using approved kit.