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Tracheostomy

A member asked:
Dr. Steven Bowers
32 years experience in Internal Medicine
Low risk: In the hands of a careful and experienced surgeon, a tracheostomy is a low risk procedure in a patient with normal anatomy of the neck and trachea.
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1 thank

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A 48-year-old member asked:
Dr. Ernest Block
34 years experience in Trauma Surgery
Yes: Temporary swallowing dysfunction can be seen in patients with tracheostomy. Most facilities have a process to screen for this problem. Speech therapis ... Read More
A 56-year-old member asked:
Dr. Steven Harris
36 years experience in Plastic Surgery
Hole in trachea: This is a surgical procedure where an opening is made in the front of the neck into the trachea to make it easier and safer to help a patient breathe ... Read More
A 51-year-old member asked:
Dr. James Sidman
39 years experience in Pediatric ENT and Head and Neck Surgery
Yes.: Tracheostomy will not affect your ability to swallow solid foods after a few days from the surgery.
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A 52-year-old member asked:
Dr. M. Hytham Beck
42 years experience in General Surgery
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 u ... Read More
A 42-year-old member asked:
Dr. Kathy Nieder
39 years experience in Family Medicine
What is the question: Not quite sure i understand the question.
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2 thanks
A 50-year-old member asked:
Dr. Scott Mackinnon
32 years experience in Anesthesiology
Prefer epidural: As the pregnant patient is at risk for aspiration of stomach contents in the face of general anesthesia, we prefer to administer an anesthetic where t ... Read More
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9 thanks
A 37-year-old member asked:
Dr. Brian Mott
28 years experience in Thoracic Surgery
Not really: Mechanical ventilation is to assist patients whose lungs are so sick they can't breathe adequately on their own. There is no advantage from a lung can ... Read More
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1 thank
A 40-year-old member asked:
Dr. James Sidman
39 years experience in Pediatric ENT and Head and Neck Surgery
Hole vs removal: A tracheotomy is just a breathing hole in the neck. Nothing is removed, and the airway is intact. A laryngectomy removes the entire voicebox so ther ... Read More
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4 thanks
A 52-year-old member asked:
Dr. Anifat Balogun
28 years experience in ENT and Head and Neck Surgery
Yes: The tracheal rings and intervening muscle make up the airway.
A 46-year-old member asked:
Dr. Chetan Patel
34 years experience in Anesthesiology
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 example ... Read More
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A 47-year-old member asked:
Dr. Alexander Bankov
36 years experience in Anesthesiology
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, ca ... Read More
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A 47-year-old member asked:
Dr. Robert Fietsam
34 years experience in Thoracic Surgery
Generally yes.: Usually, just downsize till you get to about size 4, then remove. Usually, hole closes on its own.
A 24-year-old female asked:
Dr. Martin Fried
35 years experience in General Practice
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 ins ... Read More
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A 54-year-old member asked:
Dr. M. Hytham Beck
42 years experience in General Surgery
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 ... Read More
A 53-year-old member asked:
Dr. M. Hytham Beck
42 years experience in General Surgery
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 feedi ... Read More
A 80-year-old female asked:
Dr. Tso Chen
Dr. Tso Chen answered
15 years experience in Internal Medicine
After 7 to 10 days: At my institution, the pulmonologists recommend to get tracheostomy after 7 to 10 days, but definitely not longer than 14 days.
A 46-year-old member asked:
Dr. Mark Hoepfner
38 years experience in General Surgery
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 rem ... Read More
A 38-year-old member asked:
Dr. Leto Quarles
22 years experience in Family Medicine
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 tin ... Read More
A 25-year-old female asked:
Dr. Nadia Ghattas
47 years experience in Pediatrics
Epiglotitis: Endotrachial intubation is attempted 1st in the presence of an anaestethiologist, if unsuccessful because of larynogospasm, then the trachiostomy is ... Read More
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A 39-year-old member asked:
Dr. Maureen Nash
23 years experience in Geriatric Psychiatry
Indefinitely: Until a ventilator is available or the person is breathing on their own.
A 48-year-old member asked:
Dr. James Ferguson
45 years experience in Pediatrics
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 ... Read More
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A 42-year-old female asked:
Dr. Bac Nguyen
22 years experience in Family Medicine
HIGHLY UNlikely: The phrenic nerve is from above the diaphragm and the procedures your mentioned are all below this level...
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A 22-year-old female asked:
Dr. Otto Placik
33 years experience in Plastic Surgery
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 sc ... Read More

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