Tracheostomy

Question 1

A surgical opening in the anterior wall of the trachea to facilitate ventilation

Answer 1

TRACHEOSTOMY

Question 2

Is a small, leaf-shaped sheet of elastic
cartilage that protect larynx (voice box) and help to swallow

Is a small, movable “lid” just above the larynx that prevents food and drink from entering the windpipe

Answer 2

EPIGLOTTIS

Question 3

Flap closes during swallowing, forcing food down the esophagus and into the stomach

Answer 3

SUPRAGLOTTIS

Question 3

Also called the hypopharynx, which is the bottom segment near the voice box that regulates the flow of air into the lungs and food and drink into the esophagus

Answer 3

LARYNGOPHARYNX

Question 3

This produces sounds used for speech

• Folds of tissue in the larynx
• Regulates the flow of air into the lungs

Answer 3

VOCAL CORDS

Question 3

Is concerned with sound production. The vibration of the vocal folds when air is forced through the rima glottidis produces sound

• entirely different from epiglottis

Answer 3

GLOTTIS

Question 4

Lower portion of the larynx, extending from just beneath the vocal cords down to the top of the trachea

Regulation of the temperature of the breath

Answer 4

SUBGLOTTIS

Question 4

It connects to the mouth and lets air, food, and fluid through

Answer 4

OROPHARYNX

Question 4

Is a hollow tube that helps move air from the nose and mouth to the lungs.

Located at the upper opening of trachea (windpipe), which is the passageway to your lungs

Answer 4

LARYNX

Question 4

Ligament in the neck. Connects the cricoid cartilage to the thyroid cartilage. It prevents these cartilages from moving to far apart

Answer 4

CRICOTHYROID CARTILAGE

Question 4

Also known as the throat

Answer 4

PHARYNX

Question 4

Pathway of food

Transport food entering the mouth through the throat and into the stomach

Answer 4

ESOPHAGUS

Question 4

A stiff, flexible tube, it provides a reliable pathway for oxygen to enter your body

Answer 4

TRACHEA

Question 4

serves as an attachment structure for the tongue and muscles in the floor of the oral cavity above, the larynx below, and the epiglottis and pharynx behind

Answer 4

HYOID BONES

Question 4

• Protects the anterior part of the larynx
• Functions as a protective shield surrounding the anterior part of the larynx

Answer 4

THYROID CARTILAGE

Question 5

Action or process of swallowing

Answer 5

DEGLUTITION

Question 6

○ Connects the thyroid cartilage to the hyoid bone and facilitates the superior movement of the larynx during swallowing

Answer 6

THYROHYOID MEMBRANE

Question 7

○ Is an important muscle for speech

Answer 7

VOCALIS MUSCLE

Question 8

-Inserted into the main body of the tracheostomy tube and acts as a guide to help place the trach tube into the airway

-Its smooth, rounded tip protects the inside of the airway from damage during insertion

Answer 8

OBTURATOR

Question 9

Why is tracheostomy performed?

Answer 9

• Acute or chronic airway obstruction
  -Need for prolonged respiratory or ventilator support
  -Paralysis of the muscles used in swallowing
  -Severe neck or mouth injuries
  -Tumors

Question 10

Types of tracheostomy tubes

Answer 10

1. Cuffed tubes
2. Un-cuffed tubes
3. Inner cannula
4. PVC, Silver, Silicone, and Rubber
5. Mini tracheostomies

Question 11

This type of tube allows ventilation and prevents aspiration. It is used when an air-tight seal is required around the tube. It is usually required when the patient is unable to breathe on their own and requires artificial respiration

Answer 11

CUFFED TUBE

Question 12

This type of tube maintains airway once aspiration risk has passed. It is used for patients who doesn’t require a seal

Answer 12

UN-CUFFED TUBE

Question 13

It provides a vital safeguard against life-threatening complications of tube obstruction in a cuffed tube and must be present at all times

Answer 13

INNER CANNULA

Question 14

These are made of silver because the metal is inert and does not irritate the tissues

Answer 14

SILVER/ METAL TRACHEOSTOMY TUBES

Question 15

Most commonly used silver tube

Answer 15

SILVER-NEGUS

Question 16

Is for the treatment or prevention of sputum retention after thoracotomy, laparotomy, or neurological insult (disrupt neuronal energy profiles and produce hyperexcitation in glutamatergic synapses)

Answer 16

MINI TRACHEOSTOMY (CRISOTHYROIDOTOMY)

Question 17

Providing tracheostomy care

Answer 17

1. To maintain airway patency 2. To maintain cleanliness and prevent infection at the tracheostomy site 3. To facilitate healing and prevent skin excoriation around the tracheostomy incision 4. To promote comfort

Question 17

When to remove the tracheostomy tube

Answer 17

1. Able to expectorate independently 2. Minimum of 1 deep suction per shift 3. No sign of chest infection (no fever, color sputum) 4. FiO2 o less than 60% 5. Deflation of cuff for more than 24 hrs