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Encyclopedia > Tracheotomy
Completed tracheotomy:
1 - Vocal cords
2 - Thyroid cartilage
3 - Cricoid cartilage
4 - Tracheal cartilages
5 - Balloon cuff

A tracheotomy is a procedure performed by paramedics, emergency physicians and surgeons in order to secure an airway. A tracheotomy or tracheostomy is a surgical procedure performed on the neck to open a direct airway through an incision in the trachea (the windpipe). (Technically, the former term, with the Greek root tom- meaning "to cut," refers to the procedure of cutting into the trachea, whereas the latter term, with the root stom- meaning "mouth," refers to the procedure of making a semipermanent or permanent opening. Tracheostomy can also refer to the result of the procedure, i.e. the opening itself.)
Image File history File links tracheotomy neck profile Created in Adobe Illustrator by Jeremy Kemp, 2/25/05 Concept from: Nucleus Medical Art: http://catalog. ... Image File history File links tracheotomy neck profile Created in Adobe Illustrator by Jeremy Kemp, 2/25/05 Concept from: Nucleus Medical Art: http://catalog. ... Surgery Surgery is the medical specialty that treats diseases or injuries by operative manual and instrumental treatment. ... The trachea, or windpipe, is a tube that has an inner diameter of about 12mm and a length of about 10-16cm. ...

Contents

Uses for a tracheotomy

The conditions in which a tracheotomy may be used are:

In emergency settings, in the context of failed endotracheal intubation or where intubation is contraindicated, cricothyroidotomy or mini-tracheostomy may be performed in preference to a tracheostomy. Maxillofacial surgery is part of a regional surgical specialty called Oral and Maxillofacial Surgery. ... A branchial cleft cyst is an oval, moderately movable cystic mass that develops under the skin in the neck between the sternocleidomastoid muscle and the pharynx. ... An abscess on the skin, showing the redness and swelling characteristic of inflammation. ... mechanical or forced ventilation is the use of powered equipment, e. ... In medicine, a coma (from the Greek koma, meaning deep sleep) is a profound state of unconsciousness. ... Intubation being practiced on a dummy (conventional technique using a laryngoscope) In medicine, intubation is the placement of a tube into an external or internal orifice of the body. ... In cricothyrotomy, the incision or puncture is made through the cricothyroid membrane inbetween the thyroid cartilage and the cricoid cartilage. ...


How a tracheotomy is performed

  1. Curvilinear skin incision along relaxed skin tension lines (RSTL) between sternal notch and cricoid cartilage
  2. Midline vertical incision dividing strap muscles
  3. Division of thyroid isthmus between ligatures
  4. Elevation of cricoid with cricoid hook
  5. Placement of tracheal incision. An inferior based flap or Bjork flap (through second and third tracheal rings) is commonly used. The flap is then sutured to the inferior skin margin. Alternatives include a vertical tracheal incision (pediatric) or excision of an ellipse of anterior tracheal wall.
  6. Insert tracheostomy tube (with concomitant withdrawal of endotracheal tube), inflate cuff, secure with tape around neck or stay sutures.
  7. Connect ventilator tubing

It is also possible to make a simple vertical incision between tracheal rings (typically 2nd and 3rd) for the incision. rear end flaps may produce more intratracheal granulation tissue at the site of the incisions, making it less favorable to some surgeons. The cricoid cartilage, or simply cricoid, is the only complete ring of cartilage around the trachea. ... Clinical Examination Pediatrics (also spelled paediatrics) is the branch of medicine that deals with the medical care of infants, children, and adolescents (from newborn to age 16-21, depending on the country). ...


Complications

  1. Immediate - pneumothorax or pneumomediastinum, tracheoesophageal fistula, injury to great vessels or recurrent laryngeal nerves, bleeding, e.g. from divided thyroid isthmus
  2. Early - secretions and mucus plugging, dislodged tube, respiratory arrest and post obstructive pulmonary edema (when tracheostomy is performed in a patient with longstanding upper airway obstruction, and is dependent on hypoxia drive for respiration)
  3. Late - bleeding from tracheoinnominate fistula (can be torrential), tracheal stenosis (from ischemia induced by a cuffed tracheostomy tube), tracheoesophageal fistula, tracheocutaneous fistula and cosmetic deformity must be considered upon decannulation.

Left-sided pneumothorax (on the right side of the image) on CT scan of the chest with chest tube in place. ... In medicine, a fistula (pl. ... The larynx (plural larynges), colloquially known as the voicebox, is an organ in the neck of mammals involved in protection of the trachea and sound production. ... Pulmonary edema is swelling and/or fluid accumulation in the lungs. ... The hypoxic drive is a form of respiratory drive in which the body uses oxygen chemoreceptors instead of carbon dioxide receptors to regulate the respiratory cycle. ... Tracheal stenosis is a narrowing of the trachea. ... In medicine, ischemia (Greek ισχαιμία, isch- is restriction, hema or haema is blood) is a restriction in blood supply, generally due to factors in the blood vessels, with resultant damage or dysfunction of tissue. ...

Problems

  1. Immune problems- air inhaled through a stoma is not filtered or moistened like it is when inhaled through the nose, or even the mouth.
  2. Drowning- as little as two teaspoons of water in the stoma can drown the person, therefore, they cannot take a shower, bathe, or swim.
  3. Suffocation- if the stoma is covered, the person will suffocate, as in some cases they cannot breathe through their nose or their mouth.

A request has been made on Wikipedia for this article to be deleted in accordance with the deletion policy. ... For the article about nose in humans, see human nose Human nose in profile Elephants have prehensile noses Dogs have very sensitive noses Anatomically, a nose is a protuberance in vertebrates that houses the nostrils, or nares, which admit and expel air for respiration in conjunction with the mouth. ... It has been suggested that this article or section be merged with mouth (human). ... Impact from a water drop causes an upward rebound jet surrounded by circular capillary waves. ... It has been suggested that Steam shower be merged into this article or section. ... Children bathing in a small metal bathtub Bathing is the immersion of the body in fluid, usually water, or an aqueous solution, such as the asses milk favored by Cleopatra VII of Egypt. ... Swim is a multiple stroke. ... Suffocation can mean two things: Suffocation, or Asphyxia, is a medical condition where the body is depraved of oxygen. ... Asphyxia is a condition of severely deficient supply of oxygen to the body. ... For information of the respiratory system, see breath, lung, diaphragm, trachea, gas exchange. ... For the article about nose in humans, see human nose Human nose in profile Elephants have prehensile noses Dogs have very sensitive noses Anatomically, a nose is a protuberance in vertebrates that houses the nostrils, or nares, which admit and expel air for respiration in conjunction with the mouth. ... It has been suggested that this article or section be merged with mouth (human). ...

In Popular Culture

  • In an episode of M*A*S*H, Father Mulcahy performs a tracheotomy on a patient whose swollen tongue prevents him from breathing.
  • In numerous episodes of House M.D., the doctors perform a tracheotomy in great detail every so often, for example in the pilot episode (season 1)
  • In a Scrubs episode entitled, "My Drive-By," surgeon Dr. Turk used a knife from a nearby taco stand to perform an emergency tracheotomy on a man choking on a burrito.
  • In the pilot episode of Jericho, Jake Green performs an emergency tracheotomy on a young girl who had sustained a neck injury and was unable to breathe.
  • In an episode of "Neighbours", Dr. Karl Kennedy's son Malcolm was performing builder activities while in Lou's bar when a large wooden plank fell onto his throat, crushing his windpipe and forcing his father to perform a tracheotomy.

M*A*S*H is an American television series developed by Larry Gelbart, inspired by the 1968 Richard Hooker (penname for H. Richard Hornberger) novel M*A*S*H: A Novel About Three Army Doctors and its sequels, but primarily by the 1970 film MASH, and influenced by the 1961... House, also known as House, M.D., is a critically-acclaimed American medical drama television series created by David Shore and executive produced by Shore and film director Bryan Singer. ... Scrubs is an Emmy- and Peabody Award-winning American situation comedy/dramedy that premiered on October 2, 2001 on NBC. It was created by Bill Lawrence, who also co-created Spin City. ...

Celebrity Tracheotomies

  • Actress Elizabeth Taylor once underwent a tracheotomy while hospitalized with pneumonia.
  • In 1985, the famous scientist Stephen Hawking also contracted pneumonia and had a tracheotomy. As a consequence, he lost his natural speech ability and has since used an electronic voice synthesizer to communicate.
  • Actress Catherine Zeta-Jones has a scar from a tracheotomy performed in childhood for breathing problems from a viral infection. [1] [2]
  • Film critic Roger Ebert underwent a tracheotomy in 2006 as part of treatment for complications from surgery to treat salivary cancer. This tracheotomy prevented participation in his television show Ebert & Roeper. [3]
  • At the 1994 San Marino Grand Prix, Brazilian Ayrton Senna had an emergency tracheotomy performed on track after his accident. Senna died later that afternoon.
  • At the 1995 Australian Grand Prix, Finnish Mika H√§kkinen crashed out due to a tyre failure and had his life saved by an emergency tracheotomy performed on track. He would later go on to win two Formula One world championships.

This article needs additional references or sources for verification. ... Pneumonia is an illness of the lungs and respiratory system in which the alveoli (microscopic air-filled sacs of the lung responsible for absorbing oxygen from the atmosphere) become inflamed and flooded with fluid. ... Stephen William Hawking, CH, CBE, FRS, FRSA, (born 8 January 1942) is a British theoretical physicist. ... Catherine Zeta-Jones (born 25 September 1969) is a Welsh actress. ... Roger Joseph Ebert (June 18, 1942) is a Pulitzer Prize-winning American film critic. ... Ebert & Roeper at the Movies (more commonly known as Ebert & Roeper) is a movie review television program featuring film critic Roger Ebert and columnist Richard Roeper, both of the Chicago Sun-Times. ... 1994 San Marino Grand Prix - Wikipedia, the free encyclopedia /**/ @import /skins-1. ... Ayrton Senna da Silva (pronounced / /, March 21, 1960 – May 1, 1994) was a Brazilian triple Formula One world champion. ... The 1995 Australian Grand Prix was a Formula One motor race held on November 12, 1995 at the Adelaide Street Circuit, Adelaide. ... Mika Pauli Häkkinen ( ) (born September 28, 1968 in Helsingin maalaiskunta) is a Finnish racing driver and two-time Formula One champion. ... Formula One - Wikipedia, the free encyclopedia /**/ @import /skins-1. ...

See also

In cricothyrotomy, the incision or puncture is made through the cricothyroid membrane inbetween the thyroid cartilage and the cricoid cartilage. ... This article or section needs copy editing for grammar, style, cohesion, tone and/or spelling. ... mechanical or forced ventilation is the use of powered equipment, e. ...

External links


  Results from FactBites:
 
Tracheotomy - definition of Tracheotomy in Encyclopedia (210 words)
Tracheotomy is a surgical procedure used to cut a hole in the trachea through which a small tube is inserted.
Tracheotomy is indicated when the airway is mechanically blocked, for example by a crushing blow to the neck, and efforts at both intubation and "popping" the trachea process back into shape with the thumbs have been unsuccessful.
Sometimes a planned tracheotomy is indicated when a patient requires long-term mechanical ventilation, for example in throat cancer.
From the Grand Rounds Archive at Baylor (3393 words)
Tracheotomy was known as the 'scandal of surgery' and a 'semislaughter' throughout much of the middle ages.
The complications of tracheotomy may be categorized by the interval from the procedure to the onset of the complication.
Obstruction of the tracheotomy tube is a common postoperative complication occurring in both adults and in the pediatric population.
  More results at FactBites »

 
 

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