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When a pediatric patient needs an emergency needle cricothyrotomy, it is not a time to learn your equipment. You need an angiocath that you can connect a syringe while the needle is still in place. You also need some way to connect an oxygen delivery device to this angiocath. Instead of rummaging through equipment trying to find all of the necessary items, just grab these 3 itmes.
1. A 7.0 ETT
2. A central line kit
3. A Bag-Valve device
We will show you how to put them together to provide oxygen to a patient
- Remove the plunger from the 3mL syringe found in a CVC kit.
- Shove the small end of the BVM connection off of a 7-0 ETT into the 3mL syringe where the plunger was inserted.
- Utilize the needle with angiocath that comes in the CVC kit to assure you can continuously aspirate while you advance the needle.
- This procedure is not definitive. It does not provide any ventilation. You still need to secure a definitive airway.
- Anesthesia, ENT, and General Surgery can all assist. The foreign body either needs to be removed or a surgical airway must be obtained.