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Trach - Tracheostomy
Overview & Description
A tracheostomy is a surgical procedure in which an opening is made through the neck into the windpipre or trachea. A tube is usually placed through this opening to provide an airway. This also allows for removal of secretions from the lungs.
Who is a candidate for the procedure?
Indications for this procedure include:
How is the procedure performed?
If time permits, the person is taken to the operating room. The person will be given medication to make him or her sleepy. Many times, this is a life-saving procedure, and there is not time to take the person to the operating room. The procedure may be done in the emergency department. The neck is cleaned and sterile towels are applied. A surgical cut is made to expose the tough cartilage rings that make up the outer wall of the trachea. Two of these rings are cut, and a tube is inserted.
Preparation & Expectations
What happens right after the procedure?
After the procedure:
Home Care and Complications
What happens later at home?
Occasionally the person will be discharged with the tube in place. They will need instruction on the care of their tracheostomy tube before leaving the hospital. Visiting nurses may be needed initially.
What are the potential complications after the procedure?
The following are potential complications following a tracheostomy:
Attribution
Author:Gail Hendrickson, RN, BS
Date Written:
Editor:Planko, Christa, MA
Edit Date:05/19/00
Reviewer:Eileen McLaughlin, RN, BSN
Date Reviewed:09/04/01
Sources
Simon, Robert, Emergency Procedures and Techniques, Third Edition, 1997