PAEA Surgery End Of Rotation (EOR) Practice Exam

In what scenario is a cricothyroidotomy indicated?

1. In a patient with stable vital signs

2. When there is extensive orofacial trauma preventing laryngoscopy

3. If a patient has a known history of asthma

4. In cases of mild upper respiratory infections

The correct answer is: When there is extensive orofacial trauma preventing laryngoscopy

A cricothyroidotomy is indicated in situations where immediate access to the airway is necessary and other methods of airway management are not feasible. This procedure is particularly useful when there is extensive orofacial trauma that complicates laryngoscopy, making traditional intubation methods impractical or impossible. In such cases, a cricothyroidotomy allows for a rapid establishment of a secure airway directly through the cricothyroid membrane, bypassing any obstructions in the upper airway. In contrast, scenarios involving stable vital signs, known asthma, or mild upper respiratory infections do not typically warrant a cricothyroidotomy. Stable vital signs suggest that the airway is not compromised, asthma can often be managed with other techniques such as bronchodilators, and mild upper respiratory infections usually do not pose an immediate threat to airway integrity. Thus, option B accurately reflects the critical circumstances under which a cricothyroidotomy should be performed.