TRACHEOSTOMY AND LARYNGECTOMY Flashcards
name the three parts of the shiley tracheostomy tube
trach, introducer, inner cannula
name the four parts of the trach
body, cuff, inflatin system, swivel flange with tie downs
what size is the connector of the inner cannula of the shiley tracheostomy tube?
15mm
what part of the shiely trach tube must be inserted into the trach for it to be ready to insert into the patient?
introducer
what part of the shiely trach tube must be inserted into the trach for it to be ready PPV or suctioning?
inner cannula
what are the associated intermediate and long-term risks of tracheostomy?
ischemia
necrosis
erosion
dilation
stenosis
what is the risk associated with use of nitrous oxide through tracheostomy?
nitrous oxide can produce significant ischemic lateral-wall injury
what two characteristics of the kamen-wilkinson trach make it unique?
- single-piece construction
- foam-filled cuff
what are the two critical considerations when placing/using a lanz pressure-regulating valve?
- no traction on trach
- optimum cuff pressure
what characteristics of the jackson tracheostomy tube make it unique?
- all metal construction
- may or may not have a cuff
- increased infection control
what size is the connector for a pediatric trach tube?
same as an adult – 15mm
how is the montgomery T-tube situated in the patient’s airway?
the shortest end of the T is directed toward the vocal cords, the longer end toward the thorax
what is the purpose of a trach button?
maintains stomal patency for future access
what cannot be administered through a trach button?
PPV
how does a kistner trach differ from a trach button?
maintains stomal patency for access (suctioning) and permits speech
– still no PPV –
