Tracheostomy

Question 1

What is a tracheostomy

Answer 1

A surgical opening into the trachea below the
vocal cords

Question 2

What does a tracheostomy do

Answer 2

Provides an alternate airway bypassing the
upper airway

Question 3

What are the 6 indications for a tracheostomy

Answer 3

1. Difficult intubations
2. Larynx tumors
3. Prolonged mechanical ventilation (longer than 3 weeks)
4. Unable to pass an endotracheal tube (establish an airway)
5. Subglottic stenosis
6. Vocal cord paralysis

Question 4

what 3 immediate complications can happen after a tracheostomy

Answer 4

1. pneumothorax
2. subcutaneous emphysema
3. Air embolism

Question 5

What 4 late complications can happen after a tracheostomy

Answer 5

1. Hemorrhage
2. Infection
3. Obstruction
4. Tracheal-Esophageal Fistula

Question 6

What can be used to secure a trach tube

Answer 6

Trach ties

Question 7

What kind of trach allows upper airway
breathing to occur

Answer 7

Fenestrated trach

Question 8

What kind of trach uses auxiliary airflow to put air above cuff so patient can speak with cuff inflated and is used during mechanical ventilation

Answer 8

Vocalaid trach

Question 9

What is a complication a vocalaid trach can cause

Answer 9

mucosal drying and irritation

Question 10

A one way valve provides low resistant one-way airflow using a
thin silicone diaphragm that opens on inspiration and closes
on expiration.

Answer 10

Mongomery speaking valve

Question 11

What provides a better more effective cough, restores positive subglottic air pressure, and restore pharyngeal and laryngeal sensation

Answer 11

A closed respiratory system

Question 12

What method allows the patient to breath around the trach tube and speak

Answer 12

Plugging method