%0 Journal Article %T Emergency cricothyrotomy %A Pardal-Refoyo JL %A Cuello-Azc¨˘rate JJ %J Revista de la Sociedad Otorrinolaringol¨®gica de Castilla y Le¨®n, Cantabria y La Rioja %D 2012 %I Sociedad Otorrinolaringol¨®gica de Castilla y Le¨®n, Cantabria y La Rioja %X Introduction: In patients with difficult airway with ventilation failure and intubation impossible, cricothyrotomy should be performed. Cricothyrotomy is the fastest procedure access to the airway.Objective: To present a decision algorithm.Material and methods: Literature review.Comments: We describe the surgical cricothyrotomy technique (incisional) and our decision algorithm we use in patients with obstruction of the airway with ventilation - intubation impossible.Conclusions: We recommend surgical cricothyrotomy (incisional) as the first option because it needs a few elements available in any hospital unit (scalpel No. 21-22 and endotracheal tube 4.5-5mm) and only takes a few seconds in 4 steps. %K cricothyrotomy %K minitracheotomy %K laryngothomy %K intubation %K ventilation %K difficult airway %K safety patient %U https://sites.google.com/site/revistasociedadorlclcrcarga/home/revistaorl201215_cricotirotomia.pdf?attredirects=0