Tracheostomy, advantages and disadvantages
Tracheostomy, advantages and disadvantages. Pro: reduced sedation requirement (greater comfort than oro-tracheal intubation). Con: requirement for a surgical procedure with inherent risk of complications
Tracheostomy, advantages and disadvantages. Pro: reduced sedation requirement (greater comfort than oro-tracheal intubation). Con: requirement for a surgical procedure with inherent risk of complications
Approach to percutaneous dilatational tracheostomy (PDT) procedure
Summary of evidence for PDT versus open tracheostomy. No difference in ICU or hospital mortality; duration of ventilation; nosocomial pneumonia
Percutaneous tracheostomy = reference to a number of different techniques to insert a tracheostomy (gradual dilation, forceps dilation, rhino and translaryngeal techniques)
There are important considerations regarding tracheostomy management that differ from the standard approach to respiratory distress
Haemorrhage from, or around, a tracheostomy site is both relatively common and potentially life-threatening
LMA is an acronym for Laryngeal Mask Airway; a type of extraglottic airway device aka supraglottic airway device (SAD)
the intubating LMA (Fastrach™) is a specially designed supraglottic airway device (SAD) that can be used as a conduit to facilitate intubation
ETT stylet is a device that allows the endotracheal tube (ETT) to be stiffened and the shape molded as desired.
the advent of video laryngoscopy has led to some experts stating that it should be considered 'standard of care' (a loaded term) or at least best practice, this had led to vigorous and sometimes heated debate, especially in the emergency medicine community
Direct laryngoscopy is the use of the laryngoscope to visualise the vocal cords (larynx) under direct vision, usually to facilitate endotracheal intubation.
Difficult Airway Algorithms. Difficult airway algorithms are useful for considering all the contingencies that may occur during intubation