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He saves a mafia crime figure by performing an emergency cricothyrotomy.
Severe cases where there is an inability to remove the object may require cricothyrotomy.
Sometimes an opening is made directly into the airway (tracheostomy or cricothyrotomy).
It may also occur as a result of dental surgery, laparoscopy, and cricothyrotomy.
This is similar to a tracheostomy but a cricothyrotomy is reserved for emergency access.
In the acute setting, indications for tracheotomy are similar to those for cricothyrotomy.
However, cricothyrotomy may not be useful if the trachea is lacerated below the site of the artificial airway.
This ligament is cut during emergency cricothyrotomy.
In some states and provinces a paramedic is allowed to perform percutaneous cricothyrotomy if all other airway management fails.
Even under ideal, clinical conditions, a cricothyrotomy is difficult and requires specific tools, preparation and a practiced knowledge of anatomy.
For inferior laryngotomy or emergency laryngotomy, see Cricothyrotomy.
In Grey's Anatomy, emergency cricothyrotomy is mentioned in at least three episodes:
If repeated attempts do not free the airway, an emergency incision in the windpipe (tracheostomy or cricothyrotomy) may be necessary.
The external branch is susceptible to damage during thyroidectomy or cricothyrotomy, as it lies immediately deep to the superior thyroid artery.
Surgical Cricothyrotomy kit.
In the context of failed orotracheal or nasotracheal intubation, either tracheotomy or cricothyrotomy may be performed.
A cricothyrotomy is nearly always performed as a last resort in cases where orotracheal and nasotracheal intubation are impossible or contraindicated.
In an emergency a Cricothyrotomy can be used by health care professionals, where an airway is inserted through a surgical opening in the cricothyroid membrane.
Invasive techniques such as cricothyrotomy must also be available in the event of inability to intubate the trachea by more conventional techniques.
-Airway management equipment (oral intubation, needle cricothyrotomy, needle thoracentesis)
In "Owner of a Lonely Heart," Cristina almost performs an emergency cricothyrotomy on a patient who swallowed a light bulb.
However, while cricothyrotomy may be life-saving in extreme circumstances, this technique is only intended to be a temporizing measure until a definitive airway can be established.
In the ER episode "Reason to Believe" Dr. Kerry Weaver performs an emergency cricothyrotomy on a student.
Lake calls for emergency assistance but help is slow coming, so fearing for the patient's life decides to undertake a cricothyrotomy himself - a procedure he has not been trained in.
Although cricothyrotomy and tracheostomy can secure an airway when other methods fail, they are used only as a last resort because of potential complications and the difficulty of the procedures.