Trauma ICU Rounds Episode 8 - Tracheostomies Demystified
May 1, 2020
Explore the critical timing for placing tracheostomies in patients needing extended mechanical ventilation. Discover the differences between open and percutaneous procedures. Learn key management strategies for handling life-threatening complications post-surgery, like unplanned decannulation. Delve into anatomical considerations and the importance of a team approach in overcoming airway emergencies. This insightful discussion equips you with essential knowledge to navigate the complexities of tracheostomy care.
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Tracheostomy Benefits
- Tracheostomies are common for critically ill patients needing long-term ventilation.
- They offer benefits like comfort, decreased work of breathing, and shorter hospital stays.
Tracheostomy Timing Studies
- Studies on tracheostomy timing have varied in outcome measures.
- Two key trauma populations regarding timing are those with traumatic brain injuries and cervical spinal cord injuries.
Pre-Op Assessment
- When consulting for tracheostomy insertion, consider the patient's anatomy, neck mobility, and body habitus.
- Note previous surgeries, scars, and radiation history, especially in obese patients.