ABSTRACT
La principal responsabilidad del anestesiólogo es asegurar la función respiratoria del paciente que ha de someterse a una intervención quirúrgica o que precisa la aplicación de técnicas de reanimación ante amenazas vitales. Entre las múltiples opciones para asegurar y mantener permeable la vía aérea se encuentra la cricotirotomía, casi siempre como última alternativa pero definitiva para asegurar la supervivencia del paciente que es imposible de ventilar o intubar por otros medios. Existen diferentes técnicas para la cricotirotomía: con catéter, punción-dilatación, o quirúrgica, y pueden hacerse combinaciones, como sería en el caso de utilizar una guía que dirija el tubo a la tráquea con la técnica quirúrgica (AU)
The anesthesiologist's chief responsibility is to ensure ventilation of the patient who is undergoing surgery or to apply resuscitation measures in life-threatening situations. Cricothyrotomy is one among many options available for maintaining airway patency. Usually it is the last resort but can be a lifesaving maneuver in the cannot-intubate, cannot-ventilate patient. The various types include cannula insertion, percutaneous puncture and dilatation, and surgical cricothyrotomy; techniques may be combined, as in the case of surgically inserting a cannula over a trocar (AU)
Subject(s)
Female , Humans , Male , Anesthesiology , Anesthesiology/organization & administration , Respiratory System , Catheter Ablation/methods , Catheters , Cardiopulmonary Resuscitation/methods , Cardiopulmonary Resuscitation/trends , Cardiopulmonary ResuscitationABSTRACT
The anesthesiologist's chief responsibility is to ensure ventilation of the patient who is undergoing surgery or to apply resuscitation measures in life-threatening situations. Cricothyrotomy is one among many options available for maintaining airway patency. Usually it is the last resort but can be a lifesaving maneuver in the cannot-intubate, cannot-ventilate patient. The various types include cannula insertion, percutaneous puncture and dilatation, and surgical cricothyrotomy; techniques may be combined, as in the case of surgically inserting a cannula over a trocar.
