Emergency airway puncture
Emergency airway puncture is the placement of a hollow needle through the throat into the airway. It is done to treat life-threatening choking.
Emergency airway puncture is done in an emergency situation, when someone is choking
and all other efforts to assist with breathing have failed.
- A hollow needle or tube can be inserted into the throat, just below the Adam's apple (cricoid cartilage), into the airway.
- In a hospital, a small cut in the skin is made before inserting the needle.
Why the Procedure Is Performed
A cricothyrotomy is an emergency procedure to relieve an airway obstruction
until surgery can be done to place a breathing tube (tracheostomy).
Risks for this procedure include:
- Injury to the voice box (larynx), thyroid gland, or esophagus
Risks for any surgery are:
How well the person does depends on the cause of the airway blockage and how quickly the person receives proper breathing support.
Hebert RB, Bose S, Mace SE. Cricothyrotomy and transtracheal jet ventilation. In: Roberts JR, Hedges JR, eds. Clinical Procedures in Emergency Medicine. 5th ed. Philadelphia, Pa: Saunders Elsevier; 2009:chap 6.
Thomas SH, Brown DFM. Foreign bodies. In: Marx J, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009: chap 57.
Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.