Airway Management and Mechanical Ventilation (TRACHEOSTOMY)

Question 1

Tracheostomy

Answer 1

surgically created stoma in anterior wall of trachea

Question 2

Indications for a Tracheostomy

Answer 2

a. establish patent airway
b. bypass upper airway obstruction
c. facilitate removal of secretions
d. permit long term ventilation
e. assist with weaning from mechanical ventilation

Question 3

Types of Tracheostomy

Answer 3

a. Single versus double cannula
b. Fome-cuf
c. Fenestrated tracheostomy tube
d. Speaking tracheostomy valves

Question 4

Prior to insertion

Answer 4

a. Percutaneous insertion or surgical placement
b. Verify consent
c. Check coagulation status
d. Baseline assessment vital signs, O2 saturation
e. Confirm IV access and prepare medications
f. Gather equipment

Question 5

After insertion

Answer 5

a. Immediately after trach tube placement, inflate cuff
b. Confirm placement (auscultate breath sounds, end-tidal CO2, pass suction catheter thru tube
c. Secure tracheostomy tube