Long-Term Airway Management Flashcards
What is daily cost for a patient in a regular hospital room waiting for transfer to a long-term care facility?
2660.00
What is the average daily ICU costs for patient awaiting a tracheostomy before transferring to the floor?
10,905.00
Examples of dispositional tracheal costs in a busy medical center and a small hospital
5 dispositional Trachs (Busy medical center) for one week = 10,905,000
25 dispositional trachs (small hospital) for one year =1,090,500
Vocal process development associated with long-term airway management in males ____ versus ____female at puberty
60% male
30% Female
Example of arytenoid edema, granulomata
![](https://s3.amazonaws.com/brainscape-prod/system/cm/045/431/587/a_image_thumb.png?1659409025)
what is considered a Primary tracheostomy?
Secondary tracheostomy?
Primary tracheostomy < 24 hours
Secondary tracheostomy > 24 hours
flow chart airway ischemia
![](https://s3.amazonaws.com/brainscape-prod/system/cm/045/432/054/a_image_thumb.png?1659409025)
what are complications of Cricoarytenoid joint edema
hoarseness
aspiration
occurance of vocal cord ulceration, granulomata
vocal cord ulceration, granulomata
anterior: 9 %
lateral: 79 %
posterior: 97 %
What should NOT be done for long term airway managment
» 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
what things should be done for longterm airway management?
»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