Diferencia entre revisiones de «Tracheostomy obstruction»

(Created page with "==Background== ==Clinical Features== ==Differential Diagnosis== {{Tracheostomy DDX}} ==Diagnosis== ==Management== ==Disposition== ==See Also== ==External Links== ==Ref...")
 
(Text replacement - "==Diagnosis==" to "==Evaluation==")
 
(No se muestran 5 ediciones intermedias de 3 usuarios)
Línea 1: Línea 1:
==Background==
==Background==
{{Tracheostomy background}}


==Clinical Features==
==Clinical Features==
Línea 6: Línea 7:
{{Tracheostomy DDX}}
{{Tracheostomy DDX}}


==Diagnosis==
==Evaluation==
*Rule-out other causes of respiratory distress before assuming it is due to obstruction


==Management==
==Management==
*Preoxygenate and place sterile saline solution into trachea and then suction
**If this fails, inner cannula of tube can be removed and cleaned


==Disposition==
==Disposition==
Línea 18: Línea 22:
==References==
==References==
<references/>
<references/>
[[Category:ENT]]

Revisión actual - 06:19 26 jul 2016

Background

Tracheostomy Sizes

(1) Thyroid cartilage (2) Cricothyroid ligament (3) Cricoid cartilage (4) Trachea (A) Cricothyrotomy site (B) Tracheotomy site
Tracheotomy in situ
1 – Vocal folds
2 – Thyroid cartilage
3 – Cricoid cartilage
4 – Tracheal rings
5 – Balloon cuff
Shiley™ trach tube
  • Average size:
    • Adult: 5-10mm
    • Peds: 2.5-6.5mm

Tracheostomy vs laryngectomy

It is important to differentiate between tracheostomy vs laryngectomy

  • If laryngectomy[1]:
    • The stoma is the only way to ventilate the patient.
    • Patient cannot be orally intubated

Clinical Features

Differential Diagnosis

Tracheostomy complications

Evaluation

  • Rule-out other causes of respiratory distress before assuming it is due to obstruction

Management

  • Preoxygenate and place sterile saline solution into trachea and then suction
    • If this fails, inner cannula of tube can be removed and cleaned

Disposition

See Also

External Links

References