RSS Email Print This Page Comment bookmark
Font : A-A+

Tracheostomy Indications

Now a days tracheostomy is done only in those cases in which intubation by a mouth or nasal tube is not a feasible option.

► There are broadly four groups of patients on whom tracheostomy needs to be performed:

1. To relieve breathing difficulties by any blockage in the airway passages for example-

   Foreign body Impactation in the airways.
   Acute infection of the airways
   Edema of the airways
   Paralysis of vocal cords following injury
   Tumors of the vocal cords
   Trauma in the region

2. To improve respiratory functions by reducing the length of the airway, which may be required in special lung conditions like- Bronchopneumonia

   Bronchitis with Emphysema
   Chest injury
In these conditions the tracheostomy tube also helps in aspiration of excessive secretion that may be caused due to infection or injury

3. Respiratory nerve damage temporary or permanent causing paralysis of chest muscles that assist in breathing. In these situations performing assisted or positive pressure respirations may be required in conditions like-

   Unconsciousness associated with head injuries
   Barbiturate poisoning
   Poliomyelitis
   Tetanus
These patients may also aspirate their gastric content into the lungs and a tracheostomy tube may be helpful for aspiration these secretions.

4. As a preliminary step in certain surgeries on the upper airway.

► Advantages of Tracheostomy

Tracheostomy has certain advantageous over the temporary tube called endotracheal tube because it-

  . Reduces patient discomfort
   Reduces need for sedation
   Improves ability to maintain oral and bronchial hygiene
   Reduces risk of trauma to the windpipe and trachea
   Makes breathing easier with less effort for a sick patient
   Easier to move off assisted breathing using a ventilator.

Post a Comment

Comments should be on the topic and should not be abusive. The editorial team reserves the right to review and moderate the comments posted on the site.
Notify me when reply is posted
I agree to the terms and conditions

Surgical Procedures Index

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Surgical Procedures Comments
Click to view
Tracheostomy animation

Medindia Newsletters

Subscribe to our Free Newsletters!

Terms & Conditions and Privacy Policy.

Find a Doctor
Advertisement

Stay Connected

  • Available on the Android Market
  • Available on the App Store

Facebook