Tag Tracheostomy
CCC Critical Care compendium 340

Tracheostomy

This is the LITFL CCC master page for tracheostomy — follow the links for further discussion of the following:

CCC Critical Care compendium 340

Pitt Speaking Tube

Pitt Speaking Tube: the facilitation of speaking in the tracheostomized patient; non-fenestrated, cuff tube for continuous mechanical ventilation and airway protection with a port to direct airflow above the cuff to the larynx.

CCC Critical Care compendium 340

Anatomy for Tracheostomy

To perfrom a tracheostomy, knowledge of the following is required: surface anatomy, course of the trachea, structure of the tracheal rings, layers of dissection, components of the larynx and related structures

CCC Critical Care compendium 340

Assessment of Swallow in a Tracheostomy Patient

The presence of a tracheostomy tube can adversely effect swallowing: in patients who previously had no dysphagia; and further impair swallowing function in those who already have neurological or mechanical disorders of swallowing.

CCC Critical Care compendium 340

Fenestrated Tracheostomy Tube

fenestrated tracheostomy tube. allows patient to breath normally with a tracheostomy in situ. patient can cough and speak through mouth. improves swallow function. acts a step prior to decannulation

CCC Critical Care compendium 340

Timing of Tracheostomy

Tracheostomy is performed in critically ill adults requiring prolonged invasive ventilation as a strategy to: — reduce respiratory tract injury — improve patient comfort, and/or — to facilitate weaning