Method to establish a safer airway in a patient with neck trauma, cricoid fracture with possibility of a difficult airway: March 2011: (A) Orotracheal intubation, (B) Cricothyroidotomy, (C) Emergency tracheostomy, (D) None of the above
Answer is C. Ans. C: Emergency tracheostomy Tracheostomy is an alternative when intubation is not possible Tracheostomy: Double tube Made of titanium silver alloy In emergency trachesostomy, structure which can be injured are: - Inferior thyroid vein - Isthmus of thyroid - Thyroid imam aery Common complication is tracheal stenosis Mitomycin is used for tracheal stenosis