Friday, August 2, 2013

8/2/2013

8/2/2013
 Answers:
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

Name three possible complications of a tracheostomy.

Complications of Tracheostomy include but are not limited to:
-subQ emphysema
-pneumomediastinum
-pneumothorax (via progressively worsening pneumomedistinum)
-tracheoesophageal fistula
-RLN damage
-tube displacement
-tracheal innominate fistula
-tracheal stenosis

MC Question:
Populations at higher risk of foreign body aspiration include all of the following except.
A) Psychiatric patients
B) Children under 8 years old
C) Patients with underlying neurological disease
D) Patients with underlying esophageal disease
E) Edentulous adults.

Free Response Question:
What is the most commonly ingested foreign body?

Quick Facts:
 Foreign Body Airway Imaging
-Always get posteroanterior and lateral plain films.
-Lat. film helps distinguish location (airway vs. esophagus).
-Not all foreign bodies are radiopaque.
-button battery has double contour on lateral view.
-negative imaging should not r/o foreign body.
-if strong suspicion, but films negative then do rigid endoscopy.

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