AIRWAY M Flashcards
Traqueosmoy Complications
when air is trapped in the subcutaneous tissues from suturing the surgical incision.
subcutaneous emphysema
Tx: removing the skin sutures and inflating the cuff.
Traqueosmoy Complications
when air is sucked through the wound or from coughing that forces air into
the deep tissue planes of the neck and into the mediastinum.
Pneumomediastinum
Traqueosmoy Complications
may result from progressive pneumomediastinum or from direct injury
to the pleura during tracheotomy.
Pneumotorax
Traqueosmoy Complications
fistula can occur if the tracheal incision is made too deep, causing inadvertent injury to the
underlying esophagus.
Traqueoesofagial Fistula
Early Wound
Traqueosmoy Complications
is possible if dissection occurs lateral to the trachea.
Reccurent Laringeal nerve Damage
Dalay Traqueosmoy Complications
Most dangerous complication It usually presents within 2 weeks of the tracheotomy and carries a high mortality rate.
a trachealinnominate artery fistula,
Tx:Control Hemorrhagia | Inflar un globo debajo del sangrado de traqueostomia
Traqueosmoy Complications
is a risk of
surgery
Tube displacement
Use björt Flap Surue STAY.
Delay Traqueosmoy Complications
also occur in the delayed setting and is considered to be secondary to pressure necrosis from the tracheotomy tube cuff or the tip of a malpositioned tube.
tracheoesophageal fistula
Delay Traqueosmoy Complications
can occur at the level of the stoma, the tracheotomy tube cuff, or the tube tip. A
Traqueal stenosis
When does tracheocutaneous fistula occur?
occur after decannulation of a longstanding tracheotomy.
is the most emergent surgical airway.
Cricothyroidotomy
It can be performed more quickly and with less bleeding than a tracheoto
Intubation Reassons
- bypassing an upper
airway obstruction. - providing a means for assisting mechanical ventilation (ie, chronic ventilator dependence).
- enabling pulmonary hygiene,
- temporarily securing an airway in patients undergoing major head and neck surgery,
- relieving obstructive sleep apnea,
- eliminating
pulmonary “dead space.”
Surgical AIRWAY M
Estos son criterios para Traqueostomia
1* Trauma maxilofacial.
2trauma laringeo.
3Hemorragia o emesis por la boca (Generaria obstruccion).
4Daño cervical.
5Erronea colocacion traslaringea.
6* Fallo de mascara o LMA.