TRACHEOSTOMY 101

Course overview

Course Objectives: 1.Describe the anatomy of the trachea. 2.List indications for a tracheostomy. 3.List the contraindications for a tracheostomy 4.Discuss the surgical steps required to perform a tracheostomy 5.Explain the complications and weaning off a tracheostomy Abstract Tracheostomy is a common surgical procedure performed by surgeons to help create a surgical airway. The terms tracheotomy and tracheostomy both have the same meaning and are often used interchangeably. Tracheostomy is generally performed in the cervical neck region in patients who are not able to weaned off the mechanical ventilator or in those patients who need aggressive clearing of very thick and viscous oral secretions that block the upper airways. Once an opening is created in the upper trachea, a specially designed cannula is inserted into the airway. It is secured with sutures. It usually takes 1-2 weeks for a mature tract to form and during this time, great care must be taken to avoid dislodgement of the cannula.