Nursing care for cricothyrotomy
| Site: | EHC | Egyptian Health Council |
| Course: | Nursing Procedure Guidelines for the Reception and Emergency Department |
| Book: | Nursing care for cricothyrotomy |
| Printed by: | Guest user |
| Date: | Tuesday, 5 May 2026, 11:39 PM |
Description
"last update: 27 March 2025" تحميل الدليل
- Prepared by
Emergency guide
Under supervision
- Prof. Dr. Mohamed Latif, CEO of the Egyptian Health Council
Dr. Kawthar Mahmoud, Head of the Egyptian Nursing Syndicate - Member of the Senate
Supervised by
Dr. sherif wadie, advisor to the minster of health for emergency and urgent care
Prepared by
|
Title |
Name |
NO. |
|
Dean Of Faculty Nursing, Professor of Medical and Surgical Nursing, Tanta University |
Dr Afaf Abdel Aziz Abdel Aziz Basal |
1 |
|
Professor Of Critical Care Nursing |
Prof.Dr/Zeinab Hussain Ali |
2 |
|
Professor And Head of the Department of Medical Surgical Nursing. Faculty-. Benha University |
Prof.Dr Amal Said Taha Refaie |
3 |
|
Supervisor Of the Education Sector at Port Said University |
Prof.Dr Amal Ahmed Khalil Morsy |
4 |
|
Professor Of Medical Surgical Nursing- Faculty of Nursing- Cairo University |
Dr. Hanan Ahmed Al Sebaee |
5 |
|
Head of central administration on secondment at MOHP |
Dr Neveen ab drab al0nabi Mohamed |
6 |
|
Director Of Primary Health Care Nursing Department at MOHP. |
Maysa Hosny Ahmed Tammam |
7 |
|
Supervisor Of Technical Education- EHA |
Nancy Alaa Eldeen Abd-Elbaset Ali |
8 |
|
Supervisor Of Nursing Services Development- EHA |
Sherien Mohamed Saad |
9 |
|
Assistant Professor of Maternity and Neonatal Health Nursing - Faculty of Nursing- Ain Shams University |
Assist.Perof. Dr./Heba Mahmoud Mohammed |
10 |
|
General manager of general administration of health institutes affairs |
Dr Mai Galal Ibrahim Al-Assal |
11 |
|
Participants |
||
|
Director Of Curative Nursing Department MOHP |
Dr. Azza Galal Ahmed Khalil |
12 |
|
Member of the Nursing administration, EHA, Luxor Branch |
Mr. Ahmed Mohamed Ahmed Al Noubi
|
13 |
|
Nursing Specialist at the General Administration of Nursing - Ministry of Health |
MS. Angham Hamdy Abdel Khaleq
|
14 |
|
Nursing Specialist at the General Administration of Nursing - Ministry of Health |
Mr. Ahmed Muhammad Hussein Mubariz |
15 |
|
Nursing Specialist at the General Administration of Nursing - Ministry of Health |
Mr. Abdel-Azim Al-Saeed Abdel-Azim Al-Hanafi |
16 |
|
Nursing Specialist at the General Administration of Nursing - Ministry of Health |
Mr. Shawkat Yusre Hussein
|
17 |
|
nursing specialist at the General Administration of Nursing |
Mr. Karim Ahmed Sadik |
18 |
- Definition
Cricothyrotomy is an emergency surgical procedure in which an airway is created through an incision in the cricothyroid membrane, the membrane between the cricoid and thyroid cartilages in the larynx
This procedure is used in emergency situations where the airway is blocked or inaccessible by conventional intubation methods. It is considered a last option to maintain breathing in critical cases
- The importance of the Cricothyrotomy in the emergency department
The emergency (ER) department is the place where critical and urgent cases are immediately addressed, making cricothyrotomy a procedure performed in this department in certain situations such as:
• It is resorted to when traditional endotracheal intubation is not possible due to: upper airway obstruction caused by injury, inflammation, or severe allergic reactions (anaphylaxis).
• Severe injuries affecting the face or neck, making it impossible to access the trachea through the mouth.
• Swelling of the larynx due to severe allergies or infections causing complete airway obstruction.
- Basic steps for performing a Cricothyrotomy in the emergency department
A Cricothyrotomy requires precision and speed. This procedure is performed by a medical team trained in emergency surgical procedures and includes the following steps:
➡️Determine the appropriate location: the cricothyroid membrane
➡️Disinfect the area: using disinfectants
➡️Incision: A small horizontal incision is made in the membrane to access the airway
➡️Insertion of a breathing tube: After the incision is made, a tube or catheter is inserted to ensure that air continues to flow into the lungs
- Common conditions requiring a Cricothyrotomy in the emergency department
➡️ Anaphylaxis It is a severe allergic reaction that leads to swelling of the larynx and obstruction of the airway
➡️ Acute head and neck injuries which prevent normal intubation
➡️ Severe burns in the mouth or neck that cause narrowing or blockage of the airway
Tumors: that completely block the upper airway
A Cricothyrotomy is a medical intervention performed as a last resort to save a patient's life. Although endotracheal intubation is preferred in most cases, a Cricothyrotomy is performed in cases where this option is impossible or ineffective. This procedure is regularly trained in hospitals to ensure that doctors are able to perform it quickly and efficiently in an emergency