Ep 246: POCUS of the Cricothyroid Membrane


Check out the timestamps below to help you navigate through the many topics we discussed.

On This Episode:

Emergency cricothyrotomy is a rare, but incredibly important procedure that can be lifesaving. A primary step when performing a cricothyrotomy is correct identification of the cricothyroid membrane (CTM). Point of Care Ultrasound of the CTM has shown to be the most helpful in obese and altered neck anatomy populations. However, this technique is not routinely utilized in current anesthesia and critical care practice.

In this episode Jeremy and Sass discuss the anatomy related to the CTM. They talk about palpation methods for finding the CTM, discuss current evidence for the use of ultrasound identification, and break down the ultrasound techniques that are useful in clinical practice. This is the podcast that will excite you to use POCUS for identification of the CTM!


Here are some of the things you’ll learn on this show:

  • Understanding and identifying the anatomy. [2:21]
  • The two most effective ways to find the cricothyroid membrane. [8:32]
  • A couple of relevant studies that provide good information. [12:45]
  • The ultrasound procedure to help identify it. [17:19]
  • The educational resources that Jeremy recommends. [21:48]
  • The String of Pearls technique. [22:40]

Check out the interview at the top of the page and use the timestamps to help you navigate through the many topics we discussed.


Show Notes & Resources:

    1. Kristensen MS, Teoh WH, Rudolph SS. Ultrasonographic identification of the cricothyroid membrane: best evidence, techniques, and clinical impact. Br J Anaesth. 2016 Sep;117 Suppl 1:i39-i48. doi: 10.1093/bja/aew176. Epub 2016 Jul 17. PMID: 27432055.
    2. Rai Y, You-Ten E, Zasso F, De Castro C, Ye XY, Siddiqui N. The role of ultrasound in front-of-neck access for cricothyroid membrane identification: A systematic review. J Crit Care. 2020 Dec;60:161-168. doi: 10.1016/j.jcrc.2020.07.030. Epub 2020 Aug 13. PMID: 32836091. Journal of Anaesthesia, Volume 117, Issue suppl_1, September 2016, Pages i39–i48, https://doi.org/10.1093/bja/aew176
    3. Hung KC, Chen IW, Lin CM, Sun CK. Comparison between ultrasound-guided and digital palpation techniques for identification of the cricothyroid membrane: a meta-analysis. Br J Anaesth. 2021 Jan;126(1):e9-e11. doi: 10.1016/j.bja.2020.08.012. Epub 2020 Sep 28. PMID: 32896429.
    4. Kristensen MS, Teoh WH. Ultrasound identification of the cricothyroid membrane: the new standard in preparing for front-of-neck airway access. Br J Anaesth. 2021 Jan;126(1):22-27. doi: 10.1016/j.bja.2020.10.004. Epub 2020 Oct 31. PMID: 33131758.
    5. Siddiqui N, Arzola C, Friedman Z, Guerina L, You-Ten KE. Ultrasound Improves Cricothyrotomy Success in Cadavers with Poorly Defined Neck Anatomy: A Randomized Control Trial. Anesthesiology. 2015 Nov;123(5):1033-41. doi: 10.1097/ALN.0000000000000848. PMID: 26352376.
    6. Airway Management for Anaesthesiologists. Ultrasound guided marking of the cricothyroid membrane using:
      1. Transverse TACA Technique: https://airwaymanagement.dk/ultrasound_needle_cricothyrotomy
      2. Longitudinal “String of Pearls” Technique: airwaymanagement.dk/pearls






CRNA Careers

Nurturing Knowledge with Thanks

As we celebrate another Thanksgiving, we want to show our appreciation for an organization that does so much for CRNAs. Many people don’t know about the AANA Foundation’s purpose and why it’s important to individual CRNAs working in the OR, but they play a critical role in supporting and growing the profession. Today we’ll spend time with Executive Director Nat Carmichael and Treasurer Mike Anderson, DNP, CRNA to learn more about the best kept secret in our profession.

CRNA Careers

Advocacy in Nurse Anesthesiology Training with Dr. Kristie Hoch

We pose the question to guests all the time about how to get more CRNAs involved on the advocacy side of the profession, but today’s guest is taking a hands-on approach to instilling that mindset at the educational level. Dr. Kristie Hoch has taken her passion for advocacy and applied it to the nurse anesthesiology program at the University of Arizona. Together with co-host Tracy Castleman, DNP, CRNA, APN-A, FAANA, we will hear all about her training process and why she thinks this leadership training will pay off in all aspects of their careers.




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J. Cross CRNA
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This podcast is very well put together. I love the hosts Sharon & Jeremy, they do a fantastic job at presenting topics as well as getting great speakers on the show! This is my morning commute podcast everyday! Thank you for all that you do!
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I enjoy listening every morning. Great content and always a pleasure to learn something new.
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I started listening to this podcast religiously early on in my CRNA journey, a year before applying to CRNA school. The content in this podcast was one of my most helpful resources for getting into my first choice school, Wake Forest! It has also been a huge motivator for getting involved with the AANA now and throughout my career. I highly recommend this podcast to every prospective CRNA I meet.
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I appreciate hearing the latest and greatest in the world of Nurse Anesthesiology while also getting Class B credits. Just listen on your commute for a win/win experience. I love the perspectives from Jeremy and Sharon who both ask varied and insightful questions!
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If you’re a CRNA or any medical professional, I highly recommend giving this podcast a listen. Hosts have a great rapport.