Vasant Kunj Medical Centre

Tracheostomy

Tracheostomy is a surgical procedure involving the creation of an opening in the trachea, commonly known as the windpipe. This artificial opening, called a tracheostomy or stoma, allows direct access to the airway and is typically performed to assist with breathing, bypass upper airway obstructions, or facilitate long-term mechanical ventilation. Tracheostomies may be temporary or permanent, depending on the patient’s medical condition.

TRANCHEOSTOMY PROCEDURE

Patient
Preparation:

  • The patient is positioned on the operating table, and vital signs are monitored.
  • Anesthesia is administered to induce unconsciousness and prevent pain during the procedure.

Incision:

  • A horizontal incision is made in the lower part of the neck, just above the sternal notch.
  • The muscles and tissues overlying the trachea are carefully dissected to expose the trachea.

Creation of
Tracheostomy Opening:

  • A small incision is made in the front wall of the trachea.
  • A tracheostomy tube, consisting of an outer cannula and an inner cannula, is inserted through the opening.

Securing the
Tracheostomy Tube:

  • The tracheostomy tube is secured in place with ties or a securing device to prevent accidental dislodgement.

Closure of
Incision:

  • The incision in the neck is closed with sutures.
  • A dressing is applied over the tracheostomy site.

Postoperative
Care:

  • The patient is monitored closely in the immediate postoperative period.
  • Ventilation and oxygenation are managed through the tracheostomy tube.

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