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Tracheostomy

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by

Genesis Huchim

on 10 June 2013

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Transcript of Tracheostomy

Tracheostomy Terrie has cancer as a result of smoking. She shares Tips From Former Smokers TV commercial, Terrie showed us how she got ready for her day. Genesis Huchim
Miranda Armijo
Jaime Chafe Tracheostomy Procedure Emergency Procedure

The is done only in emergency situations and can be performed quite rapidly.
The emergency room physician or surgeon makes a cut in a thin part of the voice box (larynx) called the cricothyroid membrane.
A tube is inserted and connected to an oxygen bag. This emergency procedure is sometimes called a cricothyroidotomy .
After Surgery/Complications Tracheostomies are generally safe, but they do have risks. Some complications are likely during or shortly after surgery. Immediate complications include:
Bleeding
Infection
Damage to the trachea
Air trapped in tissue under the skin of the neck which can cause breathing problems and damage to the trachea or food pipe .
Buildup of air between the chest wall and lungs, which causes pain, breathing problems or lung collapse
Causes Why would someone need this surgery? Causes Causes Common Patients
&
Diagnostic/Indication To deliver oxygen to the lungs when a person is unable to breathe normally – the loss of normal lung function is called Respiratory Failure
To bypass an airway that has become blocked
To remove fluid that has built up in the upper airway, particularly in the throat and windpipe (trachea) Respiratory Failure Blockage Fluids Many conditions may lead to a respiratory failure and the need for tracheostomy are :
Being unconscious or in a coma as a result a severe head injury, drug overdose or accidental poisoning
Brain damage caused by a stroke
Paralysis after a serious neck or spinal injury
Pneumonia or Cystic Fibrosis Air ways can become blocked due to :
accidentally swallowing something that gets stuck in the wind pipe
An injury,infection,burns, or severe allergic reaction that causes the throat to become swollen
A cancerous tumor such as: Mouth, laryngeal or thyroid gland cancer. several factors can lead to cause fluid to build up inside the air ways and lungs. Sometimes the fluid become infected so it necessary to carry out the tracheostomy so that the fluid can be sucked out through the tube.
This may be necessary when the person :
is unable to cough properly to chronic pain
has a lung infection such as pneumonia
an injury that causes the airways or lungs to become filled with blood. Many patients with advanced illness have tracheostomies, which require careful observation and specialized management.
Most common patients are smoking patients
Common indications for tracheostomies in patients being seen for chronic long-term ventilation, aid with ventilation weaning, and upper airway obstruction (from, for instance, head and neck cancer)
This also goes for children as well Surgical Procedure

The surgeon first makes a cut in the skin of the neck that lies over the trachea.
The neck muscles are separated and the thyroid gland, which overlies the trachea,and makes a transverse cut.
The surgeon identifies the rings of cartilage that make up the trachea and cuts into the tough walls.
A metal or plastic tube, called a tracheotomy tube, which is inserted through the opening allows the person to breathe.
Oxygen or a mechanical ventilator may be hooked up to the tube to bring oxygen to the lungs.
A dressing is placed around the opening. Tape or stitches are used to hold the tube in place. After the Procedure: If the tracheostomy is temporary, the tube will eventually be removed. Healing will occur quickly, leaving a minimal scar
The patient will be able return to daily activities and work as soon as possible to promote healing.
Avoid vigorous exercise for six weeks after surgery.

For Permanent Tracheostomy:
Once a tracheostomy tube is in place, you will experience breathing and vocal changes. It usually takes three days to adjust to breathing through the tube.
Speaking is often a larger adjustment. Initially, you may not be able to speak but if so cover the opening to be able to talk.
MUST CLEAN DAILY
Avoid food, water, and foreign particles to enter
Long-term complications are more likely the longer a tracheostomy is in place. These problems include:
Displacement of the tracheostomy tube from the trachea
Narrowing of the trachea
Abnormal tissue formation in the trachea
Obstruction of the tracheostomy tube
Development of an abnormal passage between the trachea and esophagus which can increase the risk of fluids or food entering the lungs With time. TIPS
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