Answers:
The benefits of percutaneous tracheostomy compared to traditional open tracheostomy include all of the following except.
A) Shorter operative time
B) Less expensive
C) Can be done bedside
D) Easier in obese patients
E) None of the above
F) All of the above
Percutaneous Trachs are increasingly popular.
-Pros: easy to perform, short operative time, can do at bedside, cheaper, no need to transport patient, some argue there are lower complications if performed with endoscopy confirming entry into tracheal lumen.
-Cons: potential greater complications associated w/ blind entry, difficulty if patient is obese.
What is the difference between tracheotomy and tracheostomy?
-Tracheotomy = opening the trachea
-Tracheostomy = exteriorizing the trachea to the cervical skin.
MC Question:
On what postop day should sutures be removed from a typical tracheostomy?
A) Remove same day and secure with trach tie
B) 1 day post op
C) 2-3 days postop
D) 3-5 days postop
E) 1 week postop
Free Response Question:
Name three possible complications of a tracheostomy.
Quick Facts:
Foreign Body Ingestion/Aspiration
-mostly in kids under 4 y/o due to:
-increased mobility
-introduction of adult food
-high desire to place objects in mouth
-incomplete dentition
-immature swallowing coordination
-Other high risk groups = psych folks, those w/ neuro/esophageal pathology, edentulous adults.
-Coins are most commonly ingested object.
-Nuts/Seeds are most common aspirated foreign body.
-Latex balloons are most deadly.
A) Shorter operative time
B) Less expensive
C) Can be done bedside
D) Easier in obese patients
E) None of the above
F) All of the above
Percutaneous Trachs are increasingly popular.
-Pros: easy to perform, short operative time, can do at bedside, cheaper, no need to transport patient, some argue there are lower complications if performed with endoscopy confirming entry into tracheal lumen.
-Cons: potential greater complications associated w/ blind entry, difficulty if patient is obese.
What is the difference between tracheotomy and tracheostomy?
-Tracheotomy = opening the trachea
-Tracheostomy = exteriorizing the trachea to the cervical skin.
MC Question:
On what postop day should sutures be removed from a typical tracheostomy?
A) Remove same day and secure with trach tie
B) 1 day post op
C) 2-3 days postop
D) 3-5 days postop
E) 1 week postop
Free Response Question:
Name three possible complications of a tracheostomy.
Quick Facts:
Foreign Body Ingestion/Aspiration
-mostly in kids under 4 y/o due to:
-increased mobility
-introduction of adult food
-high desire to place objects in mouth
-incomplete dentition
-immature swallowing coordination
-Other high risk groups = psych folks, those w/ neuro/esophageal pathology, edentulous adults.
-Coins are most commonly ingested object.
-Nuts/Seeds are most common aspirated foreign body.
-Latex balloons are most deadly.
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