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Doctor insights on: Decannulation Of Tracheostomy

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Is the intubation process of continent ileostomy painful?

Is the intubation process of continent ileostomy painful?

Maybe Initially : You need to work closely with your ostomy nurse. Once you've done it a few times - it becomes almost automatic. It really is like inserting a pressure release valve, you will get good at it overtime. ...Read more

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Dr. James Sidman
479 doctors shared insights

Tracheostomy (Definition)

A tracheostomy is a surgical procedure to create an alternate airway by making an opening ...Read more


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In which part of the bronchus is endotracheal tube inserted?

In which part of the bronchus is endotracheal tube inserted?

Mainstem: An endotracheal tube is inserted down the throat, sometimes down the nose, but always into the mainstem bronchus and above the carina or the point at which the mainstem bronchus branches in to those branches that head on towards the right and left lungs. ...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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What are the risks of having an endotracheal tube inserted?

What are the risks of having an endotracheal tube inserted?

Risks: Risks of inserting endotracheal tube (et) include damaging vocal cords, teeth, or back of throat when using laryngoscope. Worse, the tube could accidentally be placed in the esophagus instead of the trachea, which results in hypoxia -- also potentially vomiting stomach contents into lungs. Placing et too deeply might ventilate only one lung -- possibly resulting in pneumothorax and hypoxia. ...Read more

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What is the process of endotracheal intubation like?

What is the process of endotracheal intubation like?

Most patients asleep: Putting a breathing tube into a patient's airway is not comfortable--think how irritating it is when even a drop of liquid goes down the wrong way! most of the time, this is done after a patient is already asleep under anesthesia. Occasionally, local anesthesia is used to numb the airway if intubation needs to be done with the patient awake for special circumstances such as neck injury. ...Read more

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What is the likelihood of death and complications of gastric bypass?

What is the likelihood of death and complications of gastric bypass?

Gastric bypass risk: It depends on where you have surgery. Nationwide, the risk of death is about 1/500 to 1/1000 operations. However, if you go to a highly specialized center with a long track record, the risk can be much less than that. A bypass is a fairly difficult operation, whereas a lap band is very easy. I would only trust my associate and a handful of colleagues to do a bypass on myself or a relative. ...Read more

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What are the risks of a nephrostomy tube insertion in me?

What are the risks of a nephrostomy tube insertion in me?

Bleeding, infection: A percutaneous (through the skin) nephrostomy tube is generally placed when there is obstruction to the flow of urine into the bladder such as a large kidney stone. It is usually placed by a radiologist with the aid of xray equipment. Bleeding may occur during placement and if left for a long period of time, the tube may become infected. ...Read more

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What is the process of endotracheal intubation like for the preemie?

Preemie intubation: Preemies are intubated with an endotracheal tube whose size is based on the baby's body weight. They are awake and sometimes receive some sedation when placed on a ventilator. If the intubation is just for surfactant administration and then the tube is removed they are not usually sedated. ...Read more

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Is the lung damage from meconium aspiration permanent?

Is the lung damage from meconium aspiration permanent?

No: Meconium aspiration, per se, is uncommon, and many cases of so-called meconium aspiration are simply other forms of respiratory distress noted in newborns who also passed meconium prior to delivery. True meconium aspiration does cause acute lung injury but most, if not all, cases heal completely within days to weeks. ...Read more

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What is the recovery time and success rate of mechanical pleurodesis surgery?

What is the recovery time and success rate of mechanical pleurodesis surgery?

95+%: Probably 2-3 mo. till you can fly commercial or go >8000 ft. in the mountains Every Surgeon has his opinion so ask yours ...Read more

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What are the risks associated with epidural anesthesia misplacement/ dural puncture?

What are the risks associated with epidural anesthesia misplacement/ dural puncture?

The risks of epidura: Placed incorrectly include headache, high spinal, intravascular injection, and non-functional epidural. Your anesthesiologist will test the catheter and watch it set up. Most of these concerns will be eliminated at that time. ...Read more

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Success rate of IVF with needle aspiration vs tissue extraction of sperm....any difference in outcome?

Success rate of IVF with needle aspiration vs tissue extraction of sperm....any difference in outcome?

Here are some ...: IVF is done in 2 ways: 1. Mix 1-4 timely retrieved eggs with the sperms from partner/donnor in lab so to form a fertilized eggs/embryos, then transport the embryos to uterus; 2. Inject a retrieved sperm (aspirated and selected) into a retrieved egg to form a embryo for IVF. Success rate: 1. method 1 is about 22-25% per cycle & 25-35% for multiple cycles; 2. method 2 is about 65%. ...Read more

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What meaning of mode of death asphyxia as a result of diaphragmatic herniation of intestine in lung cavity along with multisystem diseased process?

What meaning of mode of death asphyxia as a result of diaphragmatic herniation of intestine in lung cavity along with multisystem diseased process?

Complicated: You are describing a situation in which someone had problems with many parts of the body and died as a result of movement of the intestines into the chest through an abnormal opening in the diaphragm. When this happens the intestinal material becomes trapped in the chest cavity and cut off from it's blood supply, leading to tissue death and edema. This would collapse the lungs. ...Read more

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Son having dental proc under ga.Requires intubation/vent during surgery&ct.Optimal method of intubation?How will ventilation be maintained during ct?

Son having dental proc under ga.Requires intubation/vent during surgery&ct.Optimal method of intubation?How will ventilation be maintained during ct?

General anesthesia : Surgery under general anesthesia can be a very stressful event for the parents and child. Today monitoring, medications and techniques for general anesthesia are very safe and highly effective. In most cases the tube is placed through the mouth or the nose. Fiberoptic scopes and guides can provide access to the most difficult airways. Discuss your concerns with the anesthesiologist. ...Read more

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What is the etiology of tracheomalacia after bypass?

What is the etiology of tracheomalacia after bypass?

Not sure: Cannot think of connection between bypass surgery and tracheomalacia ... May have already had undiagnosed tracheomalacia, but diagnosed by anesthesiologist or intensivist while intubated for your bypass surgery ... Also prolonged mechanical ventilator support, with prolonged intubation may have caused inflammation of your trachea that may have caused some weakening of your tracheal cartilages. ...Read more

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What are the differences between a crycothyrotomy and a tracheostomy?

What are the differences between a crycothyrotomy and a tracheostomy?

Which part opened: to create air way. In emergency air way is created quickly by opening between thyroid and cricoid cartilages but in they tracheotomy area is dissected opening is made below second tracheal cartilage , takes more time need more skills but safe from developing tracheal stenosis. ...Read more