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  • Tracheostomy: Indications and Procedure

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    Ainur Abdrakhmanova
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    This document provides information on tracheostomy procedures, including indications and the step-by-step process. Tracheostomies are performed to bypass airway obstructions caused by issues like sleep apnea, inflammation, or laryngeal pathology. The procedure involves making a small incision in the neck to access the trachea, retracting surrounding tissues, and inserting a tube to maintain an open airway. Precise steps are outlined to expose and access the trachea safely.

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    Tracheostomy

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    1. Tracheostomy

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    This document provides information on tracheostomy procedures, including indications and the step-by-step process. Tracheostomies are performed to bypass airway obstructions caused by issues like sleep apnea, inflammation, or laryngeal pathology. The procedure involves making a small incision in the neck to access the trachea, retracting surrounding tissues, and inserting a tube to maintain an open airway. Precise steps are outlined to expose and access the trachea safely.

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    65 views10 pages

    Tracheostomy: Indications and Procedure

    Uploaded by

    Ainur Abdrakhmanova
    This document provides information on tracheostomy procedures, including indications and the step-by-step process. Tracheostomies are performed to bypass airway obstructions caused by issues like sleep apnea, inflammation, or laryngeal pathology. The procedure involves making a small incision in the neck to access the trachea, retracting surrounding tissues, and inserting a tube to maintain an open airway. Precise steps are outlined to expose and access the trachea safely.

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    © All Rights Reserved
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    of 10

    TRACHEOSTOMY

    I N D I C AT I O N S A N D P R O C E D U R E

    Ainur Abdrakhmanova
    INDICATIONS

    Sleep Inflammatio
    apnea n
    Laryngeal
    Congenital
    pathology
    anomaly

    Bypass an airway obstruction

    Vocal cord Laryngotracheal


    anomaly trauma
    Facial
    trauma
    ADDITIONAL INDICATIONS

    Prolonged
    intubation Managemen
    t of
    Inability to
    secretions
    intubate

    Home ventilation Mechanical


    (neuromuscular or ventilation
    chronic diseases)
    PROCEDURE

    1. Patient in supine position


    2. Shoulder roll could be placed.
    PROCEDURE

    3. Injection of 1%
    lidocaine with 1:100
    000 epinephrine
    solution into the skin

    4. Vertical or
    horizontal 2-3 cm
    incision below cricoid
    or halfway between
    cricoid and sternal
    notch
    PROCEDURE
    5. Skin subcutaneous tissue - platysma muscle
    cervical fascia- strap muscles ( sternohyoid,
    sternothyroid, thyrohyoid and omohyoid)

    6. Anterior jugular veins are


    lateral, rarely need to ligate

    7. Strap muscles are


    retracted (sternohyoid and
    sternothyroid)

    8. Thyroid isthmus
    exposed, lies across 1-4
    tracheal rings
    PROCEDURE
    9. Thyroid isthmus is retracted above or below
    10. Trachea is exposed
    11. Lateral traction sutures are placed between
    2nd and 3rd rings
    PROCEDURE

    12. A vertical line in the midline between the 2nd


    and 4th rings, which then gently dilated
    13. Because of lateral traction
    sutures there is no need in
    excessive dilation
    14. The tube is placed into the airway
    15. The skin is loosely sutured
    16. A tracheal tie is around the
    neck
    VIDEO OF TRACHEOSTOMY
    REFERENCE

    Delaney C.P. (2014).Netters surgical anatomy and


    approaches. Tracheotomy and Cricothyrotomy,
    pp.13-16.
    Trachesotomy. Retrived from http://
    www.slideshare.net/shabeelpn/tracheost omy-
    3612075
    Walts P.A, Murthy S.C, DeCamp M. (2003).
    Techniques of surgical tracheostomy. Clin Chest
    Med, pp.413-422.

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