Fig. 11.1
(a) Local anaesthesia of the skin, the subcutaneous tissue and the trachea. (b) Air bubbles observed into the syringe after aspiration confirm the position in the airway. (c) The capnograph also confirms the position of the catheter in the airway. (d) Insertion of the guide wire into the transtracheal catheter. (e) The use of the dilating forceps after first dilatation (not shown). (f) Insertion of the cannula
11.3 Conclusions
Emergency PT using the Griggs technique is feasible and safe. In experienced hands, it may be even easier and faster than open surgical tracheotomy. It can be performed as rapidly as cricothyroidotomy and has the advantage of providing a definitive approach to the airway. There are several factors that influence the choice of technique to manage the emergency airway including anatomical, user experience and available devices. All techniques should be performed and practiced in non-emergency settings so that medical teams can learn to rapidly and successfully manage emergency airway conditions.
Acknowledgments
The authors wish to thank Aileen Eiszele for writing assistance.
References
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