Question
Tracheostomy
please research an operative procedure that you find interesting and present your findings. List all steps taken for procedure, tools used for procedure, risk, complications recovery etc. Please list all resources and site.
Step 1/5
Definition – Tracheostomy is an invasive surgical procedure in which an artificial airway is created by removal of rings of trachea to induce breathing in respiratory depression. Complications and Equipment for Tracheostomy Essay Assignment
- Explanation for step 1
This is the definition of Tracheostomy
Step 2/5
Tools required for procedure are-
One Tracheostomy tube of appropriate size.
Spare inner tubes for double lumen trache tubes (if applicable) Spare ties (cotton and/or Velcro) Scissors Resuscitation bag and mask (appropriate size for patient) One way valve (community use only – for resuscitation) Wall or portable suction equipment Appropriate size suction catheters 0.9% sodium chloride ampoule and 1ml syringe One Heat Moisture Exchanger filter (HME) or tracheostomy bib Fenestrated gauze dressing Cotton wool applicator sticks Water based lubricant for tube changes Mucous trap with suction catheter for emergency suction Occlusive tape (i.e. sleek) 5 or 10 ml syringe if cuffed tube inset
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- Explanation for step 2
These are the equipment required for procedure
Step 3/5
Complications in the first post-tracheostomy week include:- – Blocked tube (occluded cannula / mucous plugging) – Bleeding from the airway/tracheostomy tube – Stomal erosion – Infection or cellulitis at the stoma site – Air leak including Pneumothorax, pneumo-mediastinum or subcutaneous emphysema -Respiratory and/or cardiovascular collapse -Dislodged tube or accidental decannulation -Granulation tissue in the trachea or at the stoma site -Tracheo-oesophageal fistula
- Explanation for step 3
These are the complication of tracheostomy
Step 4/5
-Acute airway obstruction Blocked tube (occluded cannula or mucous plugging) Infection (localised to stoma or tracheo-bronchial) Aspiration Tracheal trauma – bleeding Dislodged tube Stomal or tracheal granulation tissue Tracheal stenosis Tracheomalacia Tracheocutaneous fistula Peristomal skin breakdown and pressure ulcers
- Explanation for step 4
These are the risk of Tracheostomy
Step 5/5
procedure -Two nurses/staff to do the cuff check Explain to the patient and their family that you are going to check the tracheostomy tube cuff Ensure the head of the bed is elevated at least 15 degrees Apply eye protection Perform hand hygiene, apply non-sterile gloves Suction the oropharynx if indicated to remove any pooled secretions before cuff deflation to minimize risk of aspiration Perform routine tracheostomy tube suction procedure Suction via above cuff port if this is available/present Attach a 5 – 10 ml syringe to the pilot balloon and deflate the cuff Record the volume of air (water) withdrawn from the cuff balloon. If required repeat suction of tracheostomy tube Using a stethoscope listen for a leak around the tracheostomy tube during hand (spontaneous) ventilation If necessary gradually re-inflate the cuff by adding air in 0.5 -1ml increments until the leak just disappears Re-check cuff pressure with manometer – ensure these remain below or within the “safe” range below 25mmHg Document in the electronic medical record (EMR) the volume of air inserted into the cuff and cuff pressures achieved . Complications and Equipment for Tracheostomy Essay Assignment
Final answer
These are the definition , complications and equipment’s required for Tracheostomy