Na Ii Ppt Module 6
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This document provides information about tracheostomy care including: 1) Definitions of a tracheotomy, stoma, cannula, and tracheostomy care procedures. 2) The goals of tracheostomy care which are to keep the stoma and cannula clean and free from obstruction and prevent infection. 3) The three types of tracheostomy tubes: disposable/non-disposable, single cannula, and double cannula.
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This document provides information on tracheostomy care including indications, complications, types of tracheostomy tubes, positioning, and ongoing care needs. A tracheostomy is a surgical opening in the front of the trachea below the larynx to provide and maintain an airway. It may be indicated for airway access, secretion removal, or to bypass an obstruction. Tube types include plastic or metal, cuffed or uncuffed, fenestrated or not, and single or double cannula. Ongoing care includes cleaning the stoma and tube, suctioning secretions, humidification, and ensuring sterile technique and safety.
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This document discusses tracheostomy care. A tracheostomy is an opening made in the neck to insert a tube into the windpipe (trachea) to help breathing. It may be needed if the airway is blocked or to help remove secretions. The tracheostomy tube has several parts including an outer cannula, inner cannula, and cuff. Nurses must assess the tracheostomy site, suction secretions, change inner cannulas, and provide humidified air. Complications like infection, bleeding, or tube obstruction require close monitoring. Proper tracheostomy care and documentation are essential for patient safety and communication with other providers.
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This document provides information on tracheostomy care and management. It defines key terms, outlines the indications for tracheostomy placement, potential complications, proper placement according to anatomy, and the steps for tracheostomy care and management. The goal of tracheostomy care is to maintain airway patency, cleanliness, comfort, and prevent displacement. It describes assessing the patient's respiratory status, secretions, and dressing before performing tracheostomy tube suctioning, cleaning, and dressing changes with the aim of removing secretions and maintaining a clean tracheostomy site.
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Tracheostomy care
Tracheostomy care involves several important steps. A trained nurse should monitor the patient closely after surgery, keeping necessary supplies at hand. The cuff should remain inflated for 12 hours then deflated for 5 minutes each hour. Signs of needing suction include rattling sounds, fast breathing, or mucus in the opening. Tube changes are best done by the surgeon and involve smaller tubes and oxygen. Precautions to prevent objects from entering the trachea are important for safety. Decannulation should be done gradually by closing the tube for longer periods.
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This document provides information on tracheostomy care including indications, complications, types of tracheostomy tubes, positioning, and ongoing care needs. A tracheostomy is a surgical opening in the front of the trachea below the larynx to provide and maintain an airway. It may be indicated for airway access, secretion removal, or to bypass an obstruction. Tube types include plastic or metal, cuffed or uncuffed, fenestrated or not, and single or double cannula. Ongoing care includes cleaning the stoma and tube, suctioning secretions, humidification, and ensuring sterile technique and safety.
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Tracheostomy is a surgical procedure that creates an opening in the trachea to relieve airway obstruction and facilitate breathing. It allows for suctioning of secretions, ventilation, and weaning from mechanical ventilation. Key aspects of tracheostomy care include assessing the patient for signs of obstruction, suctioning the trachea using open or closed methods, cleaning the stoma and peristomal skin, changing ties and dressings as needed, and reassessing the patient. Proper tracheostomy care is important for airway clearance and prevention of complications.
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This document discusses tracheostomy care. A tracheostomy is an opening made in the neck to insert a tube into the windpipe (trachea) to help breathing. It may be needed if the airway is blocked or to help remove secretions. The tracheostomy tube has several parts including an outer cannula, inner cannula, and cuff. Nurses must assess the tracheostomy site, suction secretions, change inner cannulas, and provide humidified air. Complications like infection, bleeding, or tube obstruction require close monitoring. Proper tracheostomy care and documentation are essential for patient safety and communication with other providers.
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This document provides guidelines for tracheostomy care including components of a tracheostomy tube, purposes of tracheostomy, assessment of patients, suctioning procedures, inner cannula care, stoma care, humidification, and emergency scenarios. Key aspects of care include performing suctioning based on patient assessment rather than a set schedule, using aseptic technique, regulating suction pressure, preoxygenating patients, and changing dressings and tubes as needed to prevent infection and maintain an open airway. Various devices and methods are recommended for providing appropriate humidification.
Cincinnati children s hospital tracheostomy book
This document provides guidance on caring for a child with a tracheostomy. It discusses reasons for tracheostomy placement including upper airway obstruction and lung disease. Proper tracheostomy tube selection and changing is important as is regular cleaning and suctioning to maintain a clear airway. Caregivers must be trained on all aspects of care before a child is discharged home.
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This document provides information on tracheostomy care and management. It defines key terms, outlines the indications for tracheostomy placement, potential complications, proper placement according to anatomy, and the steps for tracheostomy care and management. The goal of tracheostomy care is to maintain airway patency, cleanliness, comfort, and prevent displacement. It describes assessing the patient's respiratory status, secretions, and dressing before performing tracheostomy tube suctioning, cleaning, and dressing changes with the aim of removing secretions and maintaining a clean tracheostomy site.
Tracheostomy care
A tracheostomy is a surgically created opening in the trachea to secure an airway. Tracheostomy care involves cleaning the site and changing the inner cannula of the tracheostomy tube every 8 hours. The goals of tracheostomy care are to maintain airway patency, prevent skin breakdown, and prevent infection using sterile technique. Care includes examining the patient, suctioning secretions, maintaining cuff pressure, and changing tracheostomy tubes or inner cannulas as needed.
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This document provides information on tracheostomy care including indications for tracheostomy, post-operative care, complications, suctioning and tube changes, emergencies, home care, and decannulation. Tracheostomies are performed for prolonged ventilation, airway obstruction, or other medical reasons. Post-op care includes monitoring, humidification, and exercises. Complications can include infection, bleeding, or fistulas. Suctioning frequency is every 4-6 hours for 5-10 seconds. Tube changes and emergencies like accidental decannulation are also addressed. Home tracheostomy care requires education on suctioning, eating, and supplies. Decannulation is done gradually by downsizing tubes
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This document provides information on tracheostomy, including the types, procedures, care, and complications. It discusses the anatomy involved in tracheostomy and describes different types such as temporary, permanent, fenestrated, cuffed, and single cannula tubes. Guidelines are provided for cleaning the inner cannula, stoma, changing the outer cannula and ties. The importance of humidification for tracheostomy patients is also highlighted.
Tracheostomy care
- A tracheostomy is a surgical opening created in the trachea to allow for breathing assistance or to bypass an obstruction.
- Tracheostomies are performed to provide mechanical ventilation, facilitate weaning from ventilation, bypass obstructions like larynx cancer, maintain an open airway in comatose patients, or remove secretions more easily.
- Tracheostomy care involves examining the tube and site, humidifying air, suctioning secretions, maintaining cuff pressure, changing dressings and tubes, and addressing any complications. Frequent repositioning, deep breathing, coughing and chest physiotherapy also help clear secretions.
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This document provides information on tracheostomy care including definitions, types, indications, procedures, equipment, complications, and nursing care considerations. A tracheostomy is a surgical opening into the trachea, either temporarily or permanently. Temporary tracheostomies are often done for airway obstruction or prolonged ventilation and can be removed once the underlying condition is resolved. Nursing care involves thorough assessments, tube maintenance, suctioning, monitoring for complications, and educating patients and caregivers on proper tracheostomy care after discharge.
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This document provides information on tracheostomy care including indications, types of tracheostomy tubes, complications, and care of patients with tracheostomies. It describes that a tracheostomy is a surgical opening in the trachea below the larynx used to maintain an airway or enable suctioning. Tube types include plastic vs metal, cuffed vs uncuffed, and single vs double cannula. Complications are discussed as immediate, early, or late issues like hemorrhage, infection, or stenosis. Care involves cleaning the stoma and tube along with suctioning, humidification, and checking cuff pressure as needed.
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A tracheostomy is an opening created in the trachea to allow for an alternative airway. It can be temporary or permanent. The document discusses the anatomy of the tracheostomy, indications for the procedure, different types of tracheostomy tubes, and nursing care considerations like suctioning, humidification, cleaning and dressing changes. Proper tracheostomy care is needed to maintain airway patency, prevent infection, and promote patient comfort.
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The document discusses strategies for safe suctioning of patients to avoid potential cardiac hazards. It covers anatomy related to suctioning, a brief history of suctioning techniques, definitions, indications for suctioning, and various hazards associated with suctioning including patient anxiety, changes in intracranial pressure, trauma, infection, pneumothorax, and hypoxia. The objectives are to familiarize nursing staff with safe suctioning techniques and ways to reduce cardiac hazards through both theoretical and practical teaching.
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The document discusses tracheostomy, including:
1. Defining tracheostomy as a surgical procedure where an opening is made in the trachea to relieve airway obstruction.
2. Indications for tracheostomy include upper airway obstruction, the need for long-term ventilation, and treatment for severe sleep apnea.
3. Tracheostomy tube care involves suctioning secretions, cleaning the inner cannula and stoma site with hydrogen peroxide, and securing the tube.
Tracheostomy Care
This document provides guidance on tracheostomy care and management. It begins with objectives which include reviewing evidenced-based guidelines, definitions, anatomy, reasons for tracheostomies, parts of tracheostomy tubes, types of tubes, potential complications, nursing assessments, suctioning technique, tracheostomy dressing changes, and closed suctioning. The document provides detailed instructions and considerations for each topic to ensure safe and effective tracheostomy care.
Tracheostomy care
1. Tracheostomy is a surgical opening in the front of the trachea below the larynx that creates an airway. It is performed to maintain a clear airway, remove secretions, and enable ventilation.
2. Tracheostomy tubes can be plastic, metal, cuffed, or fenestrated. Speaking valves allow vocalization without finger occlusion using a silicone diaphragm that opens for inhalation and closes for exhalation.
3. Complications include bleeding, infection, tube obstruction, aspiration, and tracheal stenosis. Care involves cleaning the stoma and tube, suctioning secretions, providing humidification, and assessing for ineffective airway clearance or
Suctioning checklist deveelopment
The document provides checklists for suctioning endotracheal tubes, tracheostomy tubes, the oropharynx, and nasopharynx. It outlines the steps for each procedure, including preparing supplies, positioning the patient, inserting and withdrawing the suction catheter, and documenting the results. The goal is to clear secretions from the airway to maintain a patent airway and prevent respiratory infections. The checklists help ensure all critical steps are followed to safely and effectively perform suctioning.
Safe suctioning
The document discusses strategies for reducing the cardiac hazard associated with suctioning. It covers the anatomy of related structures like the vagus nerve and how suctioning can stimulate reflexes. It also outlines objectives for staff training on identifying hazards, assessing patients, and reducing risks through techniques like using the minimum safe suction pressure. Several hazards of suctioning are identified, including hypoxia, infection, trauma, and changes to intracranial pressure.
Suction
Suction is frequently used to remove secretions from the lungs in intubated or tracheostomy patients unable to cough effectively. Proper suction equipment includes pumps, tubing, connections, and catheters. Pumps can be wall vacuum, electrical, portable battery-powered, or foot pumps. Tubing leads from pumps to connections, usually Y-connectors. Catheters come in soft plastic or rubber and range in size but should not exceed half the tube diameter. Proper suction technique minimizes trauma and hypoxia through controlled pressure and timing.
Tracheostomy site care procedure
1. Changing a tracheostomy dressing and tie tapes is an important procedure to maintain the tracheostomy site and ensure proper functioning of the tracheostomy tube.
2. The key steps involve preparing supplies, cleaning and drying the inner cannula, cleaning the site, applying a new sterile dressing, and securing new tie tapes with a double knot.
3. Important documentation includes details of the procedure, secretions, patient tolerance, and education provided.
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Tracheostomy decannulation is always challenging and this presentation address the various issues, indications, contra-indications, problems and solutions.
TRACHEOSTOMY CARE
At the end of the lecture, the students will be able to:
Define tracheostomy
State two reasons why tracheostomy tubes are inserted
Discuss types of tracheostomy tubes
Discuss the procedure for cleaning a tracheostomy tube
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b. Double
Discuss the procedure for suctioning an established tracheostomy
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A tracheostomy is a surgically created opening in the trachea to secure an airway. Tracheostomy care involves cleaning the site and changing the inner cannula of the tracheostomy tube every 8 hours. The goals of tracheostomy care are to maintain airway patency, prevent skin breakdown, and prevent infection using sterile technique. Care includes examining the patient, suctioning secretions, maintaining cuff pressure, and changing tracheostomy tubes or inner cannulas as needed.
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This document defines and describes tracheostomy, including its purpose, indications, types of tubes, and care considerations. A tracheostomy is a surgical opening made in the trachea to help maintain airway patency or facilitate ventilation. Common indications include upper airway obstruction, need for pulmonary toilet or long-term ventilation. Tracheostomy tubes can be temporary or permanent. Proper care involves suctioning secretions, humidifying air, changing dressings aseptically, and assessing for potential complications like infection or inability to communicate.
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This document provides information on tracheostomy care including indications for tracheostomy, post-operative care, complications, suctioning and tube changes, emergencies, home care, and decannulation. Tracheostomies are performed for prolonged ventilation, airway obstruction, or other medical reasons. Post-op care includes monitoring, humidification, and exercises. Complications can include infection, bleeding, or fistulas. Suctioning frequency is every 4-6 hours for 5-10 seconds. Tube changes and emergencies like accidental decannulation are also addressed. Home tracheostomy care requires education on suctioning, eating, and supplies. Decannulation is done gradually by downsizing tubes
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This document provides information on tracheostomy, including the types, procedures, care, and complications. It discusses the anatomy involved in tracheostomy and describes different types such as temporary, permanent, fenestrated, cuffed, and single cannula tubes. Guidelines are provided for cleaning the inner cannula, stoma, changing the outer cannula and ties. The importance of humidification for tracheostomy patients is also highlighted.
Tracheostomy care
- A tracheostomy is a surgical opening created in the trachea to allow for breathing assistance or to bypass an obstruction.
- Tracheostomies are performed to provide mechanical ventilation, facilitate weaning from ventilation, bypass obstructions like larynx cancer, maintain an open airway in comatose patients, or remove secretions more easily.
- Tracheostomy care involves examining the tube and site, humidifying air, suctioning secretions, maintaining cuff pressure, changing dressings and tubes, and addressing any complications. Frequent repositioning, deep breathing, coughing and chest physiotherapy also help clear secretions.
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This document provides information on tracheostomy care including definitions, types, indications, procedures, equipment, complications, and nursing care considerations. A tracheostomy is a surgical opening into the trachea, either temporarily or permanently. Temporary tracheostomies are often done for airway obstruction or prolonged ventilation and can be removed once the underlying condition is resolved. Nursing care involves thorough assessments, tube maintenance, suctioning, monitoring for complications, and educating patients and caregivers on proper tracheostomy care after discharge.
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A tracheostomy is an opening created in the trachea to allow for an alternative airway. It can be temporary or permanent. The document discusses the anatomy of the tracheostomy, indications for the procedure, different types of tracheostomy tubes, and nursing care considerations like suctioning, humidification, cleaning and dressing changes. Proper tracheostomy care is needed to maintain airway patency, prevent infection, and promote patient comfort.
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The document discusses strategies for safe suctioning of patients to avoid potential cardiac hazards. It covers anatomy related to suctioning, a brief history of suctioning techniques, definitions, indications for suctioning, and various hazards associated with suctioning including patient anxiety, changes in intracranial pressure, trauma, infection, pneumothorax, and hypoxia. The objectives are to familiarize nursing staff with safe suctioning techniques and ways to reduce cardiac hazards through both theoretical and practical teaching.
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The document discusses tracheostomy, including:
1. Defining tracheostomy as a surgical procedure where an opening is made in the trachea to relieve airway obstruction.
2. Indications for tracheostomy include upper airway obstruction, the need for long-term ventilation, and treatment for severe sleep apnea.
3. Tracheostomy tube care involves suctioning secretions, cleaning the inner cannula and stoma site with hydrogen peroxide, and securing the tube.
Tracheostomy Care
This document provides guidance on tracheostomy care and management. It begins with objectives which include reviewing evidenced-based guidelines, definitions, anatomy, reasons for tracheostomies, parts of tracheostomy tubes, types of tubes, potential complications, nursing assessments, suctioning technique, tracheostomy dressing changes, and closed suctioning. The document provides detailed instructions and considerations for each topic to ensure safe and effective tracheostomy care.
Tracheostomy care
1. Tracheostomy is a surgical opening in the front of the trachea below the larynx that creates an airway. It is performed to maintain a clear airway, remove secretions, and enable ventilation.
2. Tracheostomy tubes can be plastic, metal, cuffed, or fenestrated. Speaking valves allow vocalization without finger occlusion using a silicone diaphragm that opens for inhalation and closes for exhalation.
3. Complications include bleeding, infection, tube obstruction, aspiration, and tracheal stenosis. Care involves cleaning the stoma and tube, suctioning secretions, providing humidification, and assessing for ineffective airway clearance or
Suctioning checklist deveelopment
The document provides checklists for suctioning endotracheal tubes, tracheostomy tubes, the oropharynx, and nasopharynx. It outlines the steps for each procedure, including preparing supplies, positioning the patient, inserting and withdrawing the suction catheter, and documenting the results. The goal is to clear secretions from the airway to maintain a patent airway and prevent respiratory infections. The checklists help ensure all critical steps are followed to safely and effectively perform suctioning.
Safe suctioning
The document discusses strategies for reducing the cardiac hazard associated with suctioning. It covers the anatomy of related structures like the vagus nerve and how suctioning can stimulate reflexes. It also outlines objectives for staff training on identifying hazards, assessing patients, and reducing risks through techniques like using the minimum safe suction pressure. Several hazards of suctioning are identified, including hypoxia, infection, trauma, and changes to intracranial pressure.
Suction
Suction is frequently used to remove secretions from the lungs in intubated or tracheostomy patients unable to cough effectively. Proper suction equipment includes pumps, tubing, connections, and catheters. Pumps can be wall vacuum, electrical, portable battery-powered, or foot pumps. Tubing leads from pumps to connections, usually Y-connectors. Catheters come in soft plastic or rubber and range in size but should not exceed half the tube diameter. Proper suction technique minimizes trauma and hypoxia through controlled pressure and timing.
Tracheostomy site care procedure
1. Changing a tracheostomy dressing and tie tapes is an important procedure to maintain the tracheostomy site and ensure proper functioning of the tracheostomy tube.
2. The key steps involve preparing supplies, cleaning and drying the inner cannula, cleaning the site, applying a new sterile dressing, and securing new tie tapes with a double knot.
3. Important documentation includes details of the procedure, secretions, patient tolerance, and education provided.
Tracheostomy decanulation
Tracheostomy decannulation is always challenging and this presentation address the various issues, indications, contra-indications, problems and solutions.
TRACHEOSTOMY CARE
At the end of the lecture, the students will be able to:
Define tracheostomy
State two reasons why tracheostomy tubes are inserted
Discuss types of tracheostomy tubes
Discuss the procedure for cleaning a tracheostomy tube
a. Single
b. Double
Discuss the procedure for suctioning an established tracheostomy
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The document discusses tracheostomy, including its definition as a surgical opening into the trachea to place an indwelling tube to manage airway obstruction or facilitate ventilation. It covers the history, indications, types, parts of tracheostomy tubes, advantages, pre-operative workup, surgical techniques, post-operative care, complications, and recent research. The purpose is to provide information about tracheostomy to a nursing professor and students.
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20150428 LTCI scheme
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PPT-TRACHEOSTOMY.pdfkkkkjjjjjjjjjjjjjhhhhhh
This document provides information on tracheostomy care including:
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tracheostomy.pptx,.......................
1. The document provides information about a tracheostomy care and chest physiotherapy training course for Yousif Bakr Omar supervised by Dr. Abdulla Faqe Yazdin in 2021-2022.
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Tracheostomy
A tracheostomy is a surgically created opening in the trachea (windpipe) through which a tracheostomy tube is inserted to provide an airway. There are several types including elective, emergency, and percutaneous tracheostomy. Indications include upper airway obstruction, need for prolonged mechanical ventilation, and inability to clear secretions. The procedure involves making an incision through the neck into the trachea and inserting a tracheostomy tube. Complications can include bleeding, infection, and tracheal stenosis. Ongoing care involves cleaning the stoma, suctioning secretions, monitoring tube placement, and providing nutrition and communication methods.
Tracheostomy & tracheal surgeries
A tracheostomy is a surgically created opening in the trachea to allow for an alternative airway. It has several functions including improving breathing, protecting the airways from aspiration, allowing for suctioning of secretions, and enabling positive pressure ventilation. Tracheostomies can be emergency procedures for acute airway obstruction or elective for longer term issues. The procedure involves making an incision in the neck, separating tissues and strap muscles, opening the trachea, and inserting a tracheostomy tube. Post-operative care focuses on suctioning, tube care, and prevention of complications like infection, bleeding, or stenosis. Tracheostomies may be temporary or permanent depending on the underlying condition.
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Cricothyroidotomy and tracheostomy are emergency procedures used to establish an airway when traditional methods like intubation are ineffective or contraindicated. Cricothyroidotomy involves creating an opening through the cricothyroid membrane below the larynx. It is indicated when upper airway obstruction prevents intubation. Tracheostomy involves surgically creating an opening directly into the trachea below the larynx. Both procedures allow for passage of air and can be life-saving but also carry risks of complications if not performed correctly. The document discusses techniques, indications, contraindications and complications for each procedure.
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Surgical airway technique
The document discusses various emergency surgical airway techniques including needle cricothyrotomy, percutaneous cricothyrotomy, and surgical cricothyrotomy. It provides indications for when a surgical airway is needed such as airway obstruction or trauma. The steps for performing a surgical cricothyrotomy are outlined which involve locating and incising the cricothyroid membrane to access the trachea. Complications are discussed. Other emergency airway techniques like retrograde intubation, jet ventilation, and open tracheotomy are also mentioned.
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1. Primary care in trauma focuses on managing life-threatening injuries during the golden hour after an incident.
2. The primary survey follows the ABCDE approach to assess the airway, breathing, circulation, disability, and exposure. Airway obstruction and hemorrhage are top priorities to address.
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A tracheostomy is an opening in the neck into the trachea that aids breathing. Tracheostomy care includes cleaning the tracheostomy site and changing dressings and inner tubes. The nurse must assemble sterile equipment, clean the tracheostomy tube and stoma, replace the inner tube, apply a sterile dressing, and document the procedure. Proper tracheostomy care is needed to prevent infection and promote patient comfort.
Tracheostomy care
A tracheostomy is an opening in the neck into the trachea that aids breathing. Tracheostomy care includes cleaning the tracheostomy site and changing dressings and inner tubes. The nurse must follow sterile technique, assess the tracheostomy site for signs of infection, clean the inner cannula and site, replace dressings and ties securely, and document the procedure. Tracheostomy care promotes airway patency, prevents infection, and provides patient comfort.
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This document provides information on tracheostomy care including:
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- Post-op care consists of tracheostomy tube cleaning daily, suctioning secretions, monitoring oxygen levels, and giving medications like antibiotics and analgesics.
- Proper tracheostomy care is needed to prevent complications and keep the site infection-free.
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Tracheostomy involves creating an opening in the anterior wall of the trachea and placing a tube through the opening to provide an alternative airway. It has several functions including improving ventilation and protecting the airway. Tracheostomy is indicated for conditions that obstruct the upper airway or make suctioning of secretions difficult. It requires general anesthesia and involves separating neck muscles and opening the trachea between rings to insert the tube. Postoperative care focuses on suctioning, humidification, tube positioning and preventing complications like infection, bleeding or tube obstruction.
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The document discusses suctioning procedures for the oropharynx and nasopharynx. It describes using a flexible plastic catheter inserted into the mouth or nose to remove secretions and reduce aspiration risk. Equipment needed includes a suction machine, saline, gloves, and collection container. Oropharyngeal suctioning uses an oral airway to keep the airway open, while nasopharyngeal suctioning uses a nasal airway extending from the nostril to the posterior pharynx. Proper patient positioning, suction pressure settings, and catheter measurement are also covered.
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