One of the recently introduced specialized surgical cricothyrotomy kits (Control-Cric, Rusch QuickTrach, Portex Cricothyroidotomy Kit) is the Pertrach Emergency Cricothyrotomy Kit by Pulmodyne. It uses a percutaneous needle to enter the trachea, and then a dilator to insert the tracheostomy tube. This is an extension of the Melker Kit which has shown to have high success rate1. However, the Pertrach kit uses an innovative splitting needle which allows the dilator to be inserted without requiring a Seldinger wire.3