Doctor insights on:
What Happens When Water Enters 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
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
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
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
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
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
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
Tracheostomy: Oftentimes, you're correct; however, you should discuss the exact circumstances and prognosis with the healthcare team. ...Read more
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
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
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
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
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
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
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
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
Yes.: Just keep the perfume and liquids away from the opening so that it doesn't fall into the lungs. ...Read more
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
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
My babywas born with a vascularring, they fixedit and know has a tracheostomy due to severe tracheomalcia, will she ever outgrow it?
Vascular ring: Yes as she matures her tracheomslacia will improve. ...Read more
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
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
Tracheotomy: Correct.Get a more detailed answer ›
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
Yes: If the tracheotomy is permanent, then yes, the swallowing problem is permanent. ...Read more
No: Most people with trachs learn to swallow with the new sensation. Inflated cuff or too tight ties will interfere with swallowing. ...Read more
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
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
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