A. Position patient supine (if possible), hyperextending the head.
B. Locate cricothyroid membrane and clean site thoroughly.
C. Stabilize cricoid and thyroid cartilages with one hand.
D. Insert needle/catheter at a 45º angle; gently aspirate with attached syringe while inserting.
E. When syringe is able to aspirate air, stop advancing needle.
F. Continue to advance catheter downward and withdraw needle.
G. Ventilate the patient allowing an inspiratory/expiratory ratio of 1:3.
H. Secure the device and auscultate lung fields.
I. Apply a 3-way stopcock to the end of the hose assembly when utilizing a Transtracheal Jet Insufflator.