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Doctor insights on: Tracheostomy

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Dr. James Sidman
479 doctors shared insights

Tracheostomy (Overview)

A tracheostomy is a surgical procedure to create an alternate airway by making an opening in the trachea (windpipe).


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Is prolonged nasogastric tube feeding ok?

Is prolonged nasogastric tube feeding ok?

No: long term use of nasogastric tube can cause erosion to the nose and nostrils and can cause all kind of sinus problems if tube feeding warranted the use PEG tube which a tube that could go directly to the stomach via the abdomen bypassing the upper part and could be inserted by a scope no need for surgery or anesthesia and tolerated by any body regardless how sick they are it could be done bed side ...Read more

Dr. James Sidman
479 doctors shared insights

Tracheostomy (Overview)

A tracheostomy is a surgical procedure to create an alternate airway by making an opening in the trachea (windpipe).


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Chest tube recovery?

Chest tube recovery?

What is the question: Not quite sure i understand the question. ...Read more

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C sectioning: epidural or endotracheal intubation?

C sectioning: epidural or endotracheal intubation?

Depends on situation: In an emergency situation where the baby may be in distress, general anesthesia with intubation is often the fastest and most reliable choice. For an elective or less urgent csection, epidural or spinal anesthesia is preferred. Less medication reaches the baby, and the mother can be awake to see her baby right away. Talk to your anesthesiologist about anesthesia options for labor and delivery. ...Read more

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Can mechanical ventilation aid lung cancer patients?

Can mechanical ventilation aid lung cancer patients?

No: It is not a cancer treatment. Occasionally it may be needed during lung cancer treatment (as in some cases after lung resection) but it is a supportive treatment. ...Read more

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Difference between laryngectomy and tracheostomy?

Difference between laryngectomy and tracheostomy?

Big: Tracheostomy is opening made through neck into trachea through which patient can breathe ... Laryngectomy is removal of the larynx (or voice box) ... All patients with laryngectomy will get permanent tracheostomy ... But can get temporary tracheostomy without laryngectomy ... ...Read more

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Do tracheal rings support the airway?

Do tracheal rings support the  airway?

Yes: Yes, the tracheal and bronchial rings support the airways. ...Read more

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Is tracheal intubation done when awake?

Is tracheal intubation done when awake?

Could be done: Tracheal intubation in usually done after patient is asleep, but in some circumstances it may be required to be done awake for patient saftey examples anticipated difficult intubation/mask ventilation unstable neck/fracture cervical spine with cord compression. ...Read more

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How effective is tracheal intubation for treating cardiac arrest?

How effective is tracheal intubation for treating cardiac arrest?

It is part of ACLS: securing airway with the breathing tube is the recognized part of the Advanced Cardiac Life Support algorithm, i.e. it is very effective. However, cardiac arrest per se in adults often happens due to abnormal electrical activity in the heart and that is why defibrillators, whether in the healthcare facilities or for public use, are recommended to be used first. ...Read more

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Is a surgery to remove permanent tracheotomy tube safe?

Is a surgery to remove permanent tracheotomy tube safe?

Generally yes.: Usually, just downsize till you get to about size 4, then remove. Usually, hole closes on its own. ...Read more

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Dose gastric motility deteriorate when using jejunul tube feeding

Dose gastric motility deteriorate when using jejunul tube feeding

Slows down: You are essentially bypassing the stomach ( gastric area) and feeding right into the intestines. Thus the motility of the stomach would be less in instances in which you are feeding directly into the intestines. ...Read more

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How are gastrostomy tube and nasogastric tube different?

Nose and stomach: nasogastric tube is a tube inserted through the nose and place the tip in the stomach for feeding purposes gastric tube is a tube go directly to the stomach through the abdomen bypassing the upper part could be inserted by a scope without surgery or general anesthesia ...Read more

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I'm wondering are esophagostomy feeding tubes and esophageal feeding tubes different?

I'm wondering are esophagostomy feeding tubes and esophageal feeding tubes different?

Possibly not: one meant to feed through esophagus which does not make any sense medically the other is a tube passed through the esophagus to the stomach for feeding purposes no body use that for long term now if some body had an esophageal surgery because of rupture or perforation or had complication from and esophageal surgery like a leak could end up with opening to vent the esophagus and or in stomach ...Read more

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When is it required to switch from endotrach tube to tracheostomy for an IPF patient who is on long term mechanical ventilation?

Trach and Vent mgt: It depends on the ICU and medical history and settings of the ventilator. One to two weeks on the ventilator is the usual time period before discussing tracheostomy. The tracheostomy has its own benefits and complications. Optimally, trying to wean off the vent and using BiPAP or CPAP may be considered. ...Read more

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Differences between gastrostomy and nasogastric tube.?

Differences between gastrostomy and nasogastric tube.?

Location: The location of the tube tells which one it is. A nasogastric tube is a temporary tube placed through the nose into the stomach. It can be used to remove fluid from the stomach, or used for instilling liquid food. A gastrostomy tube is a surgically placed tube through the abdominal skin into the stomach, usually used for longer term nutritional liquid feeding. ...Read more

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Nasogastric tube in preemie have long term effects?

Nasogastric tube in preemie have long term effects?

Generally no: In preemies, an ng tube may be used to drain secretions out of the stomach, or for feeding until the baby is old enough to learn to swallow. These tiny tubes rarely cause injury or problems, and feeding directly into the gut is very important in helping grow well and prevent serious complications such as necrotizing enterocolitis. Tubes can look scary, but nicu care today is very gentle & advanced. ...Read more

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Usually for patient with epiglottitis, the doctor will do endotrachel intubation first or tracheostomy first?

Depends: With epiglottis the airway is quite swollen, reducing the size of tube that can get through & the person can spasm their airway shut while being prepared. If they can, they will often have an anesthesiologist give meds to relax the patient. They attempt intubation and move to trach if unsuccessful. ...Read more

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How long is bagging needed in an intubated patient without mechanical ventilation?

How long is bagging needed in an intubated patient without mechanical ventilation?

Indefinitely: Until a ventilator is available or the person is breathing on their own. ...Read more

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What is nasogastric tube feeding used for?

Simple bypass: Ng feeding is a simple and short term way to maintain enteral ( using the digestive tract) feedings to maintain adequate nutrition while a patient is not aleart enough to feed or has problems with the swallowing process. If the patient has long term needs, a tube thru the abdominal wall to the stomach can do the same thing.Good nutrition is important to healing. ...Read more

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Can surgery for gsstric bypass, peg tube placement or central line damage the phrenic nerve?

Can surgery for gsstric bypass, peg tube placement or central line damage the phrenic nerve?

Yes: Placement of a central line, in the neck, may damage the phrenic nerve, although this is highly unlikely. ...Read more

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G tube hole scar revision ?

G tube hole scar revision
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As long as healed : As long as you wound is well healed and there is no foreseeable short term need for the g-tube. Scar revision is an option. Please realize that the scar may be longer then the original scar but will likely be less depressed. Improvements are possible by removing the scar is impossible. ...Read more

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What do you have to do to take care of a tracheostomy?

What do you have to do to take care of a tracheostomy?

Keep it clean: Keep the area where the tube meets the skin clean, at times suctioning may be needed. Have the tube changed every 4 to 6 weeks. Watch for signs of infection. ...Read more

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What are the possible complications of living with a tracheostomy?

Many: The tracheostomy can have many problems, they can fall out, have granulumos, get infected, erode the airway cartilage, etc. But, if cared for appropriately by the patient and placed appropriately by the surgeon, they are very easy to handle. If one needs one they shouldnt let the potential problems dissuade them. They are live saving. ...Read more

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What happens when water enters a tracheostomy?

What happens when water enters a tracheostomy?

Coughing: It is the same as if water just "goes down the wrong way." the patient will cough and clear the water. ...Read more

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What happens if mastoiditis isn't treated?

What happens if mastoiditis isn't treated?

Mastoiditis: If left untreated, true suppurative acute mastoiditis, could lead to extracranial ( facial paralysis, labyrinthitis, petrositis, subperiosteal abscess) and/or intracranial (meningitis, brain abscess, extradural abscess, subdural abscess) complications. ...Read more

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Does meniere's disease lead to total disability?

Does meniere's disease lead to total disability?

No: Meuniere's disease means dizziness occasioned by insult, sometimes viral, to the delicate vestibular system in your inner ear. The sensation of the world spinning can be severe and cause nausea and vomiting, like sea sickness. The outcome varies. Attacks come on without warning, can be disabling while they last; but in many cases, the condition passes with or without treatment. ...Read more

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How long does it take for cuts on the face to heal?

How long does it take for cuts on the face to heal?

It depends: If the skin edges are approximated (e.g. Sutures) it takes about a week. If left open to heal, can take longer depending on how wide the cut is. Once initial wound has covered in skin, takes about 6 months for the scars to mature. ...Read more

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Can tinnitus drive you crazy?

Can tinnitus drive you crazy?

Rarely: The goal of all tinnitus treatment is to have it become a neutral sound. The brain does not pay attention to stimuli that are felt to be unimportant. Most tinnitus patients spend the majority of their lives "not hearing it." for these patients tinnitus is only occasionally annoying. A few patients are so consumed by the sound that they spend huge energy obsessing about it - they do very poorly. ...Read more

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Can you fly with meniere's disease?

Can you fly with meniere's disease?

Yes: You just need to avoid salt, fat and alcohol when flying. Fluid retention makes menieres attacks more likely so stay away from salty fatty foods. ...Read more

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How long does labyrinthitis usually last?

How long does labyrinthitis usually last?

1-4 weeks: Anywhere from 1-4 weeks. Sometimes residual dysequilibrium for several months. Neurosensory hearing loss is almost always permanent. ...Read more

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What is the surgery for meniere's disease?

What is the surgery for meniere's disease?

Various surgeries: There are an assortment of surgeries that are available. They can be classified as destructive, conservative or preservative and this is based on presence or abscence of useful hearing. ...Read more

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Are steam rooms helpful for chronic sinusitis?

Are steam rooms helpful for chronic sinusitis?

Yes: Any humdification of the nose and sinus passages is helpful though not as effective as nasal irrigation which helps to safely rinse out the nose and promote nasal health. ...Read more

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Are there good OTC remedies for labyrinthitis?

Labyrinthitis: There are over the counter antihistamines which can help with the symptoms. Dramamine, (dimenhydrinate) bonine and similar otc medications are available. ...Read more

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What do fluid tablets do to help labyrinthitis?

What do fluid tablets do to help labyrinthitis?

Nothing: Diuretics, pills that make you pee and lose salt, are used for menieres disease, a particular disease causing recurrent dizzy spells. Labyrinthitis is one severe dizzy spell lasting days, with or without hearing loss. I can think of no reason to use a diuretic for labyrinthitis. Early on valium or Meclizine are used for severe vertigo spells. See an ent. ...Read more

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How soon can I swim after cholesteatoma surgery?

How soon can I swim after cholesteatoma surgery?

Depends: There are many different operations for cholesteatoma. Given that we don't have exact details about what was done this is a question for your surgeon. ...Read more

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Is there a best medicine for decreasing tinnitus?

Is there a best medicine for decreasing tinnitus?

Benzodiazepines: Benzodiazepines are my choice for patients whose tinnitus prevents them from sleeping. Klonopin is especially effective. Other medications that help include ativan, Xanax (alprazolam) and valium. ...Read more

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How can you tell if you have allergies or a cold?

How can you tell if you have allergies or a cold?

Itchy eyes: It can be difficult to tell the difference between a cold and allergies since they share many of the same symptoms (nasal obstruction, nasal drainage, post nasal drainage) but colds usually do not have itchy nose, eyes, and throat and allergies aren't accompanied by fevers. ...Read more

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Would having sinusitis explain why i'm so tired all the time?

Would having sinusitis explain why i'm so tired all the time?

Fatigue: Hello. Sinusitis can play a role in our overall health by decreasing our sleep or having a negative effect on our sleep quality. The immune system gets chronically stressed if your sinus disease is persistent. These in turn commonly lead to fatigue. ...Read more

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Can a few hours of exercise make your labyrinthitis feel better?

Can a few hours of exercise make your labyrinthitis feel better?

Yes: The movement of the head may be helpul. It does not work for everybody. ...Read more

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