Tracheotomy

From greek.doctor
  • Tracheotomy is a permanent or temporary stoma between cricoid cartilage and sternal notch
  • Indication
    • Long-term mechanical ventilation
    • Obstruction outside larynx or trachea
      • Struma
      • Cervical or mediastinal tumor
    • Obstruction in the wall of larynx or trachea
      • Laryngeal oedema
      • Foreign body
    • Prophylactic
  • Procedure
    • Vertical skin incision between cricoid cartilage and sternal notch
    • Separation of pre-laryngeal muscles
    • Cut thyroid isthmus
    • Insertion and fixation of tracheostomy tube
    • X-ray to confirm placement