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Tracheostomy

This document provides an overview of tracheostomy, including indications, classifications, types of tracheostomy tubes, procedures, suctioning guidelines, and potential complications. A tracheostomy is a surgical procedure where an incision is made in the trachea to insert a tracheostomy tube, creating an open airway for patients. It is indicated for conditions involving upper airway obstruction or respiratory failure. Tracheostomy tubes can be temporary or permanent, high or low ring placement, and cuffed or non-cuffed. Proper suctioning techniques and pressures vary depending on the patient's age. Complications include tracheomalacia, stenosis, and fistula formation.

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384 views4 pages

Tracheostomy

This document provides an overview of tracheostomy, including indications, classifications, types of tracheostomy tubes, procedures, suctioning guidelines, and potential complications. A tracheostomy is a surgical procedure where an incision is made in the trachea to insert a tracheostomy tube, creating an open airway for patients. It is indicated for conditions involving upper airway obstruction or respiratory failure. Tracheostomy tubes can be temporary or permanent, high or low ring placement, and cuffed or non-cuffed. Proper suctioning techniques and pressures vary depending on the patient's age. Complications include tracheomalacia, stenosis, and fistula formation.

Uploaded by

Jyothi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Tracheostomy

OM Nursing Academy

Anil Kantiwal Gudha ( WhatsApp 9694936335 )

Introduction :-

Tracheostomy एक Surgical Procedure ह जसम Trachea म Arteficial incision के ारा


Tracheostomy tube insert करवाते
ह जससे Patient म एक Patent ( Open ) Airway बना सके
।

Indications :-

 Upper Airway Obstruction due to Foreign body, edema, tumor & Stenosis.

 Respiratory failure

 Neurological disorder of diaphragm

 Severe Extensive Burn

 Any condition in which endotracheal tube cannot be inserted.


Classification :-

1. Emergency & Prophylactic

2. Temporary & Permanent

3. High ring ( 1st & 2nd ) & Low ring ( 3rd & 4th )

Types of Tracheostomy Tube :-

A. Double lumen & Single lumen structure

1. Outer Cannula

2. Inner Cannula

3. Obturator / Pilot

B. Cuff & Non Cuff Tracheostomy

C. Fenestrated & Non fenestrated :-

 Fenestrated Tracheostomy Tube known as " Talking Tracheostomy Tube ".

Procedure :-

1. Position - Rose Position ( Supine with


Hyperextension of Neck )

2. Incision at 2nd - 3rd Ring

3. After Tracheostomy give Fowler position.

4. Suctioning
Suctioning :-

 Suctioning should not be continued more than 5 to 10 seconds.

 Prolonged Suctioning will Cause Hypoxia & Bradycardia ( Cardiac arrest ).

 Suctioning करने
सेपहले
Patient को 100% O2 से
HyperOxygenated करना चा हए .

Suction Pressure :-

 Preterm Baby :- 40 - 60 mm of Hg

 Infant :- 60 - 80 mm of Hg

 Child :- 80 - 100 mm of Hg

 Adult :- 100 - 120 mm of Hg

Suction Catheter Size :-

 Infant :- 5 - 8 Fr.

 Child :- 8 - 10 Fr.

 Adult :- 12 - 18 Fr.

 Apply Suctioning intermittently while rotating & Withdrawing Catheter.

5. Time :-

1. First 24 hours :- After every 30 minute

2. After then :- every 2 hour

6. Decannulation :- tracheostomy tube को remove करना ।

7. 2 - 4 घ टे
बाद inner cannula को H2O2 , NaHCO3 , 0.9 % NS से
clean कर

8. Stoma को Clean रख एवँ


Antibiotic Ointment व वे
से
लन गॉज का use कर ।

Complications of Tracheostomy :-

 Tracheomalacia :- Tracheal dilation & Erosion

 Tracheal Stenosis

 Tracheo Esophageal fistula

 Tube Obstruction and Dislodgement.


Anil Kantiwal Gudha

OM Nursing Academy
WhatsApp No. 9694936335

E-mail- anu.kantiwal.gudha@gmail.com

Wepsite- www.omnursingacademy.weebly.com

Facebook- www.facebook.com/anil.kantiwal.gudha

YouTube - www.youtube.com/user/anil555k

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