Flashcards in Tracheostomy Deck (18):
What is the treatment of upper airway obstruction expected to resolve with appropriate tx?
What are diseases where a temporary tracheostomy is indicated?
Brachycephalic airway disease
Mass causing obstruction
Oropharyngeal or laryngeal trauma
It is preferred that a patient is sedated for a temporary tracheostomy?
INTUBATED and ANESTHETIZED
T/F: You want the smallest size tube that can be easily accommodated by the trachea?
Largest size tube- sizes don't correspond to ET tube
What position should a patient be placed?
Dorsal recumbency w/ neck placed over rolled towel
What is the landmark for your incision?
caudal edge of cricoid (4-5 cm in length)
What are you dissecting in between and what instrument can be used to help you better visualize the area?
Gelpi retractors aid in visualization
What type of incision is made in the trachea and in what rings?
Transverse interannular incision
between 3rd and 4th or 4th and 5th
What percentage of the trachea can be incised?
No more than 50%
What can be used for manipulating the trachea when changing tubes?
How often should you be checking on your temporary trach patient?
Q4hr care w/ continuous monitoring
What can the tracheostomy site be cleaned with?
How long should you pre-oxygenate your patient for?
How often should the tube be replaced?
What are some complications?
Vagally mediated bradycardia and collapse
Sx site infection
Coughing, gagging, vomiting
How is the sx site healed?
If you suture site it can result in subq emphysema that can progress to pneumomediastinum or pneumothorax
What is a diagnostic and therapeutic procedure that can be performed in patients in distress due to pleural effusion or pneumothorax?