Long-Term Airway Management

Question 0

What is daily cost for a patient in a regular hospital room waiting for transfer to a long-term care facility?

Answer 0

2660.00

Question 1

What is the average daily ICU costs for patient awaiting a tracheostomy before transferring to the floor?

Answer 1

10,905.00

Question 2

Examples of dispositional tracheal costs in a busy medical center and a small hospital

Answer 2

5 dispositional Trachs (Busy medical center) for one week = 10,905,000

25 dispositional trachs (small hospital) for one year =1,090,500

Question 3

Vocal process development associated with long-term airway management in males ____ versus ____female at puberty

Answer 3

60% male

30% Female

Question 9

Example of arytenoid edema, granulomata

Answer 9

Question 10

what is considered a Primary tracheostomy?
Secondary tracheostomy?

Answer 10

Primary tracheostomy < 24 hours

Secondary tracheostomy > 24 hours

Question 11

flow chart airway ischemia

Answer 11

Question 12

what are complications of Cricoarytenoid joint edema

Answer 12

hoarseness

aspiration

Question 13

occurance of vocal cord ulceration, granulomata

Answer 13

vocal cord ulceration, granulomata

 anterior: 9 %

 lateral: 79 %

 posterior: 97 %

Question 14

What should NOT be done for long term airway managment

Answer 14

» Periodically change the ETT

» Convert ETT to tracheostomy based on time (i.e. 10 days)

» The nasal route is more stable and safer

» Tracheostomy reduces deadspace and work of breathing – this doesnt work because the deadspace reduction is not clinically significant

Question 15

what things should be done for longterm airway management?

Answer 15

»Tracheostomy can facilitate patient care. (if the pt is expected to need long term airway)

» Tracheostomy can advance patient care.

» Sedation and minimal head and neck movement prevent damage
and complications.

» Good humidification following extubation