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Doctor insights on: What Happens When Water Enters A Tracheostomy

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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

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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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

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What would be a reason to do a tracheostomy?

Varies: Mechanical obstruction of the airway is one (e.g. Tumor, swelling). The other common one is patients on long term ventilator support (respirator) who may benefit from better clearing of secretions and earlier liberation from the ventilator. ...Read more

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What's tracheostomy care for little children?

What's tracheostomy care for little children?

A few things: Trach tubes for children don't have inner cannulas, so the whole trach tube needs to be taken out and cleaned periodically. I recommend at least every 2 weeks and more often if needed. You need to have training, suction, spare tubes, etc to care for a child with a trach. It is a little more complicated if the child is also on a ventilator. ...Read more

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How is cpr done for someone with a tracheostomy?

Much easier: Previous CPR requires chest compression and breathing for the patient. While breathing is still important, the emphasis now is on chest compression. Having tracheostomy diminishes the need for actually breathing for the patient as chest compression achieves the same with positive and negative airflow that come with compression. ...Read more

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What is the difference between a tracheostomy and a vent?

What is the difference between a tracheostomy and a vent?

Hole vs machine: A tracheostomy is a hole in the neck that connects the trachea (windpipe) directly to the outside world. This is done for many reasons. A vent is short for a ventilator. This is used to assist a patient's breathing either in the operating room or in the intensive care unit. A ventilator is often connected to a tracheostomy. ...Read more

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Why might a patient be unable to eat after a tracheostomy?

Dysphagia: Frequently a tracheostomy is performed to protect the air way in patients that do not recover full consciousness following a stroke or other severe neurological insult to the brain and in that case the process of swallowing is also impaired.
The tracheostomy will serve to prevent aspiration of saliva and other secretions into the lungs but will not normalize swallowing in this instace. ...Read more

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As a woman, how can I feel ok about my sexuality after a tracheostomy?

As a woman, how can I feel ok about my sexuality after a tracheostomy?

Tough one: This is difficult as you need to be partnered with someone who can see past your trach and into your heart. If medically allowable, try wearing a cap or valve that will allow you to speak and avoid air exiting your trach. The most important thing to do is to not make a big deal out of it, yourself, and talk with you partner openly about his/her concerns. ...Read more

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Could coming off ventilator onto tracheostomy mean she's getting better?

Tracheostomy: Oftentimes, you're correct; however, you should discuss the exact circumstances and prognosis with the healthcare team. ...Read more

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I recently had a tracheostomy. I now have cipd. Is it ok for me to fly?

Check with your MD: You mean chronic obstructive pulmonary disease (COPD)? . In general people who had surgery for cancer of Larynx travel freely like any one, in your case due your lung condition your doctor may not allow you with out additional medical help (air ambulance) Speak to your doctor before you undertake air travel. ...Read more

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Can you suggest any alternatives to tracheostomy for 15 month old please?

Not enough detail?: Not enough detail to answer this question. Must be a complex situation and I hope you are at a top children's center to treat your baby. Adding in more history as to the baby's illness may help us give you advice. ...Read more

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What is the difference between closed and in-line suctioning of tracheostomy?

Same: In an effort to reduce infections in ventilated patients, the use of a closed or in- line suctioning system has been utilized. This reduces the chances of introducing bacteria either by the person suctioning or from the outside environment. The drawback is that the catheters used are usually plastic, and can cause tracheal irritation, injury, and bleeding. Softer rubber catheters are less traumati. ...Read more

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Is the tracheostomy a risky thing to do?

Is the tracheostomy a risky thing to do?

Depends on airway: If securing the airway is difficult, due to mass or severe airway alteration, then it can be quite dangerous and need to be done emergently or without general anesthesia. If already intubated or with straightforward anatomy, shouldn't be a problem. Surgical risks include bleeding, infection, damage to neck structures. ...Read more

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Can a tracheostomy make it difficult to eat?

Yes: Temporary swallowing dysfunction can be seen in patients with tracheostomy. Most facilities have a process to screen for this problem. Speech therapists are often consulted to assist with improved swallowing. ...Read more

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Explain to me the procedure of a tracheostomy?

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 using a ventilator (breathing machine). Often, this comes after the patient has used a tube going in the mouth and into the trachea. A tracheostomy tube avoids the vocal cords and the easy-to-damage area below them, and so is safer long-term. ...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 shouldn't let the potential problems dissuade them. They are live saving. ...Read more

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What could you do if no secretions were obtained when you suctioned a tracheostomy?

Double check: Make sure suction working properly and catheter going where it is supposed to. Also if patient is dehydrated secretions may become tenacious and or minimal. May then want to consider nebulising with saline to loosen secretions then attempt auctioning again. ...Read more

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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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What are possible complications of having a tracheostomy tube?

What are possible complications of having a tracheostomy tube?

Infection / bleeding: Tracheostomy tubes are not suggested without a very good reason (usually because the patient cannot breathe without a machine and won't recover that ability for some time). Like all artificial openings into the body, they can let germs in resulting in infection of the tube site or of the lungs. Very rarely, the tube can rub a hole into the neck blood vessels and major bleeding can result. ...Read more

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Please tell me the difference between tracheostomy and laryngectomy?

Please tell me the difference between tracheostomy and laryngectomy?

Extent: A tracheostomy is placing a breathing tube directly through the neck into the trachea. It is usually done for patients who are on mechanical ventilation for a prolonged time. A laryngectomy is removal of the larynx (voicebox), usually due to cancer. ...Read more

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For people who've had tracheostomy, is it save to use perfumes or after shaves?

Upper/Lower: Perfumed products may trigger bronchospasm of the lower airway, which can be relieved by albuterol.
The tracheostomy stabilizes the upper airway and the use of perfume should be fine, unless it causes nasal, eye or sinus irritation. ...Read more

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Hi docs, can you tell me if some other things the doctors can do other than a tracheostomy?

Maybe: A tracheostomy is needed is several conditions; prolonged ventilation, airway obstruction from tumor or trauma and need for extensive cancer surgery. More information is needed to discuss this situation. ...Read more

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How long does a tracheostomy surgery take? And what kind of numbing medicine is involoved?

Variable: Different types of surgical approaches. Tracheostomy most commonly performed under general anesthesia with additional local injections around surgical site. The procedure itself, presuming straightforward without prior surgical scarring, can be performed in under 20 minutes. ...Read more

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Is dr any use of usin tracheostomy if d person is unconscious for 7 dys on ventilatn n has anoxal injury? Help

Yes: Anoxic or hypoxic brain injury may lead to prolongued mechanical ventillatory support. Usually patients in that situation require a tracheostomy and a percutaneous gastrostomy tube. The tracheostomy tybe is shorter than the oro or nasotracheal tube, therefore less work of breathing, and it does not erode the vocal cords if the person is expected to ever talk again. ...Read more

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Tracheal stents in infants (2mos), do they work, is it comfortable & is it similar to a tracheostomy? Can it be done on my son?

Tracheal stents in infants (2mos), do they work, is it comfortable & is it similar to a tracheostomy? Can it be done on my son?

Stenting airway: Stents in the airway are almost never performed in kids- there would need to be a compelling reason why nothing else would work because of risks of infection or obstruction or scarring. Tracheostomy tubes are an option to temporarily (or permanently) bypass areas of obstruction. It's easy to remove a trach and very hard to remove a stent. You need more clarification from your son's doctors. ...Read more

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How do they relieve stridor in tracheostomy patient?

Trach solves: Stridor is essentially noisy breathing. Usually a tracheotomy bypasses the problem. If the person still has stridor with a trach, as the questioner asks, then there is blockage in the trach. Mucus plug, trach is too small, collapse, granuloma, etc are all common causes of tracheal obstruction. This is not usually called stridor however. The questioner may really be asking why trachs work? ...Read more

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How come my 16 year old daughter has laboured breathing after tracheostomy?

How come my 16 year old daughter has laboured breathing after tracheostomy?

Possible causes: I agree that there may be an obstruction, and granulation or scar tissue may form over time. Acute sudden changes are often related to mucus plugs or an infection. ...Read more

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Is the stoma created for a total laryngectomy still referred to as a tracheostomy or does it have a different term?

Tracheotomy: Tracheotomy is a surgical procedure creating a hole in the trachea to relieve obstruction. A tracheostomy is a tracheotomy with a tube placed to maintain a tracheal airway. ...Read more

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Why consider a tracheostomy if anticipated prolonged ventilatory support >2 wks? Why not continue mechanical ventilation? How is nutrition addressed?

Why consider a tracheostomy if anticipated prolonged ventilatory support >2 wks? Why not continue mechanical ventilation? How is nutrition addressed?

Comfort: Tracheostomy is more comfortable for patient and may allow better pulmonary clearing, and should be considered if prolonged vent necessary. Feeding may be via IV of via soft tube through nasal passage down into stomach or small bowel or can also place feeding tube percutaneously into stomach or small bowel through abdominal wall. Nutrition key to weaning off vent. ...Read more

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Is difficulty swallowing from a tracheostomy permanent?

Yes: If the tracheotomy is permanent, then yes, the swallowing problem is permanent. ...Read more

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What's the difference between a tracheostomy and endotracheal intubation?

What's the difference between a tracheostomy and endotracheal intubation?

An incision: Endotracheal intubation is usually done through the mouth and sometimes through the nose. Tracheostomy involves an incision through the neck into the trachea. ...Read more

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Is dysphagia (difficulty swallowing) resulting from a tracheostomy permanent?

No: Most people with trachs learn to swallow with the new sensation. Inflated cuff or too tight ties will interfere with swallowing. ...Read more

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I have a tracheostomy due to damage to my trachea that cannot be repaired because of my keloid scarring?

I have a tracheostomy due to damage to my trachea that cannot be repaired because of my keloid scarring?

Kenalog (triamcinolone) injection: Hard to determine a solution. If scarring is due to trauma, prolonged intubation, or what we call idiopathic, different options are available. Do you have a speaking valve? How old are you? Also determine treatment. Kenalog (triamcinolone) injections in scar is one alternative. Laser resection with trap door flaps is another. Balloon dilatation is another. ...Read more

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I have a tracheostomy due to damage to my trachea that cannot be repaired because of my keloid scarring. What can I do?

I have a tracheostomy due to damage to my trachea that cannot be repaired because of my keloid scarring. What can I do?

Trach: If you have not already, I would seek evaluation at medical centers that have uniquely extensive experience with tracheal reconstruction, such as massachusetts general hospital. ...Read more