What is the procedure for a permanent placement of breathing tube?

Procedure for a Permanent Placement of Breathing Tube (Tracheostomy)

A tracheostomy is a surgical procedure that involves creating an opening in the neck and placing a tube directly into the trachea (windpipe) to help with breathing. It is typically performed when long-term mechanical ventilation is required, or in cases where the natural airway is obstructed or blocked. Here is a general overview of the procedure for a permanent tracheostomy:

Preoperative Preparation:

- The patient undergoes various tests and evaluations, including respiratory assessments and imaging studies, to determine the necessity and suitability for a tracheostomy.

- The patient and their family are provided with detailed information about the procedure and its potential risks, benefits, and alternatives. Informed consent is obtained.

- The patient is given anesthesia, either general or local, to ensure comfort and prevent discomfort during the procedure.

Procedure Steps:

1. Incision:

- The surgeon makes an incision in the neck, usually below the Adam's apple, ensuring that the appropriate anatomical landmarks are identified.

2. Tracheal Identification:

- The surgeon carefully separates the underlying tissues and muscles to locate and expose the trachea.

3. Creating the Stoma:

- A small opening is created in the trachea. This is known as the stoma.

4. Insertion of Tracheostomy Tube:

- A pre-selected tracheostomy tube with an inflatable cuff is inserted into the stoma and advanced into the trachea. The cuff is then inflated to secure the tube in place.

5. Securing the Tube:

- The tracheostomy tube is secured to the skin using sutures or other appropriate fixation devices to ensure stability.

6. Closure of Incision:

- The incision is closed with sutures, leaving the tracheostomy tube in place.

Post-Procedure Care:

- The patient is closely monitored in a critical care setting.

- Humidified oxygen is provided through the tracheostomy tube to support breathing and prevent airway dryness.

- Regular suctioning is performed to remove secretions from the trachea and maintain airway patency.

- The healthcare team provides education to the patient and their caregivers on proper tracheostomy care, cleaning, and management.

It is important to note that a permanent tracheostomy is a major procedure and recovery may take several weeks to months, depending on the individual's condition. Ongoing medical monitoring and follow-up care are essential to ensure the effectiveness and safety of the tracheostomy.

Breathwork - Related Articles