Cours 6 Trachéotomie pédiatrique Flashcards
What is a tracheostomy ?
Décrivez le système de valve du tractus aérodigestif
Commençant aux lèvres et se se terminant au sphincter supérieur de l’oesophage, les valves permettent ou empêchent toujours le flux d’air de nourriture ou de liquides d’aller d’une direction à l’autre.
Le système respiratoire partage un espace fonctionnel commun avec __________ et ________________.
le tube digestif et le tractus vocal.
What two functions are affected when you have a trachea tube ?
swallowing and breathing
What is particular about kids who have a tracheal tube ?
When they exhale, their lungs do collapse.
Une trachéotomie, c’est quoi ?
Ouverture créé dans la trachée sous le niveau du larynx dans le but d’aider à la respiration. Pour empêcher cettr ouverture de se fermer et pour maintenir dun accès facile aux poumons, un tube creux est inséré dans l’ouverture. Ce tue est appelé tube de trachéotomie.
Because the trachea tube can come out, at least 3 people have to be trained for CPR. The child has to be at the hospital for 3 months while these people are being trained.
Why has there been an increase in tracheostomies in babies ?
Because more premature babies are being born. Their lungs aren’t developed. They need help breathing.
Which senses are affected by a tracheostomy ?
sense of taste and smell
How do you feed a child who has no taste of smell and taste?
Work on the texture : give them food with good texture
Why is early communication impacted when a child has a tracheostomy tube?
Early communication is impacted. The child can’t cry. The parents can’t respond to the child’s communicative attempts.
Children who don’t have a delay in comprehension, tend not to have a delay with speaking.
How old are most kids who get tracheostomies ?
La majorité des enfants ont moins d’un an.
L’âge moyen est de 2 à 3 ans.
Why put in a tracheal tube ?
trouble breathing
paralyzed vocal cords
collapsed airway
** the hope is that the structure will become more rigid with time.
Consequences of trachéotomie
Diminution de la sensation pharyngée et laryngée
Diminution de l’élévation et
loss of taste and smell, loss of gag reflex
increase of possibility of aspiration
