Tracheotomy

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Tracheotomy

• By Dr.Suprapol chanthapan

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Definition
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Tracheotomy

• Indication
• UAO
• Clear secretion
• Prolong intubation
• Prophylaxic tracheotomy
• Respiratory insufficiency
• Prevent aspiration
• Inabillity to intubation

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Tracheotomy

• Tracheotomy ???????? 2 ???
• Emergency tracheotomy
• Cricothyrotomy
• Elective tracheotomy

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Tracheotomy

• Tracheotomy tube
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• ?????????

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Portex tracheostomy tube
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Silver tracheostomy tube
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???????????? Tracheotomy
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Tracheotomy

• Postoperative care
• General asses
• Suction
• Humidification
• Tracheotomy tube care
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• decanulation

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Tracheotomy

• Complication
• Intraoperation
• Damage to great vessel
• Damage to tracheo-esophageal wall
• Pneumothorax

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Tracheotomy

• Complication
• Early postoperation
• Tracheotomy tube obstruction
• Tracheotomy tube displacement
• Pulmonary edema
• Infection
• Subcutaneous emphysema

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Tracheotomy

• Complication
• Late postoperation
• Granulation tissue
• Tracheal stenosis
• Fistular
• Innominate a. rupture