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Figure 6.1 Patient positioning for tracheostomy. Place ‘roll’ under shoulder blades to maximize neck extension. Place a pillow under the head until you are ready to start. TC, thyroid cartilege; CC, cricoid cartilage; SN, suprasternal notch.


Figure 6.2 The essentials found in most percutaneous tracheostomy kits. (A) Tracheostomy tube with cuff inflated. (B) Plastic guidewire sheath with bulge at the top end to avoid posterior trachea injury from the dilator. (C) Tracheotomy tapered dilator. (D) Guidewire.

Figure 6.3 How to avoid scraping the ET. (A) Needle scraping the ET. (B) Gently move ET cephalad.


Figure 6.4 Needle and guidewire.

Additional material for this chapter can be found online at:

www.wiley.com/go/mayer/mountsinai/criticalcare

This includes multiple choice questions and Video 6.1. The following image isavailable in color: Figure 6.4 .

Mount Sinai Expert Guides

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