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52133 - Cricothyrostomy

MBS service description:

CRICOTHYROSTOMY by direct stab or Seldinger technique, using Minitrach or similar device (Anaes.)
Schedule Fee:
103.7
@85% Benefit Fee:
88.15
@75% Benefit Fee:
88.15
Last updated on
March 29, 2025

When is item code 52133 (Cricothyrostomy) typically used?

The need for cricothyrostomy by direct stab or Seldinger technique arises when a patient faces an acute airway emergency—such as trauma or obstruction—in the oral and maxillofacial region, requiring immediate surgical access through the cricothyroid membrane under anesthesia using a device like Minitrach. This procedure is indicated for rapid airway establishment when intubation fails, critical in the maxillofacial area where swelling or injury can block breathing suddenly.

Reasons include:

  • Trauma: A crushed face from an accident might block the airway, needing instant access.
  • Swelling: Severe infection swelling the throat could require this for breathing.
  • Failed intubation: Emergency situations where standard methods fail prompt this technique.
  • Urgency: Rapid onset obstruction needs quick intervention to save life.

For instance, a patient with facial trauma from a fall might need this in the ER to breathe, using Seldinger for speed. In aged care, an elderly patient with sudden swelling could benefit from this, given their frailty. By opening the airway, this service prevents hypoxia, stabilizes the patient, and supports urgent care, making it essential for maxillofacial airway emergencies.

Benefits to the patient

Surgeons performing a cricothyrostomy on the patient using a direct stab or Seldinger technique under anesthesia provide emergency benefits. A primary advantage is restoring breathing. This rapid procedure reopens the patient’s airway, critical in acute situations—essential for 'cricothyrostomy benefits.' It also prevents hypoxia by quickly addressing airway blockage, protecting the patient’s oxygen levels. Furthermore, it stabilizes emergencies by offering immediate relief, giving surgeons time to plan further care. For surgeons researching 'emergency airway advantages,' this service ensures patients experience breathing restoration, hypoxia prevention, and crisis stabilization, making it a vital tool for urgent airway management.

Recovery considerations

Recovery of a few days with tube care; short-term use until stable.

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