Personalized Treatment Plan:

In emergent settings, Dr. Singhavi follows advanced airway algorithms alongside anesthesiologists and emergency physicians. Once obstruction is confirmed, he palpates neck landmarks, applies local anesthesia if time permits, and extends the patient’s neck. Using a scalpel, he makes a vertical skin incision over the thyroid cartilage, then a horizontal cricothyroid membrane incision. A bougie or tracheostomy tube introducer is gently advanced into the airway, followed by a cuffed tube placement. Placement is verified by immediate end‐tidal CO₂ detection and bilateral breath sounds. Post-procedure, he assesses for complications—such as bleeding or subcutaneous emphysema—and transitions to a formal tracheostomy within 24–48 hours once the patient stabilizes.

Benefits:

Cricothyroidotomy under Dr. Singhavi’s direction offers the fastest route to reestablish oxygenation in a “cannot-intubate” crisis, potentially saving lives within seconds. By bypassing proximal obstructions, it immediately restores ventilation and perfusion, preventing hypoxic brain injury. The focused technique minimizes tissue dissection and bleeding compared to emergent tracheostomy, making it ideal for prehospital or emergency‐department use. Transitioning to a standardized tracheostomy later reduces long-term complications. Overall, cricothyroidotomy provides a critical, life-saving bridge to definitive airway management.