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Tracheostomy: Types, History, and Procedure

Tracheostomy is a surgical procedure that creates an opening in the trachea to allow direct access to the breathing tube. It can be performed as either a temporary or permanent procedure for various medical conditions that impair breathing. The surgery involves making a small vertical incision in the neck over the trachea, dissecting down to the tracheal rings, and opening a hole to insert a tracheostomy tube for ventilation. Proper care is required of the tracheostomy site to prevent complications.

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Mackoy Logan
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35 views17 pages

Tracheostomy: Types, History, and Procedure

Tracheostomy is a surgical procedure that creates an opening in the trachea to allow direct access to the breathing tube. It can be performed as either a temporary or permanent procedure for various medical conditions that impair breathing. The surgery involves making a small vertical incision in the neck over the trachea, dissecting down to the tracheal rings, and opening a hole to insert a tracheostomy tube for ventilation. Proper care is required of the tracheostomy site to prevent complications.

Uploaded by

Mackoy Logan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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LEARNING ABOUT

TRACHEOSTOMY
TRACHEOTOMY
refers to the surgcal opening
of the trachea

TRACHEOSTOMY
creation of a stoma at the skin
surface which leads into the
trachea

making a hole at the anterior wall of


the trachea
HISTORY
one of the
oldest surgical
procedure

the first was


performed in
15th century
ELECTIVE
TEMPORARY
TRACHEOSTOMY
part of a planned procedure such
as major head and neck operation

EMERGENCY
TEMPORARY
TRACHEOSTOMY
rare procedure and indicative in
cerain conditions
PERMANENT
TRACHEOSTOMY
elective procedure carried out as
part of an operation involving
larynx and trachea

trachea is permanently
access only
disconnected from the pharynx
to lower
and proximal end of the trachea
trachea
sutured to the skin
The skin of the neck over the
second tracheal ring is
identified and a vertical
incision about 2-3 cm in length
is created

Sharp dissection following the


skin incision is used to cut
Blunt disse
across that platysma muscle
long axis
and bleeding controlled by
then use
hemostats and ties or
subcumus
electocautery
the thy
i
Blunt dissection parallel to the
long axis of the trachea is
then used to spread the
subcumuscular tissues until
the thyroid isthmus is
identified

If the g;and lies superior to the


third tracheal ring, it can be
bluntly undermined and
retracted superiorly to gain
access to the trachea
There are two basic approaches
to the tracheal entry. The second
ring is divided laterally and the
anterior portion is removed

Lateral sutures are used to


provide counter traction during
tube insertion

These are left uncut to provide


assitance if the tube is
dislocated later
METAL VS
PLASTIC TUBE
Metal are constructed of slver
or stainless steel ,

Plastic tubes are most


commonly used as it softens at
body temperature
TRACHEOSTOMY

CARE
LEARNING ABOUT

TRACHEOSTOMY

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