ISSN 2398-2942      

Tracheostomy: temporary

icanis

Synonym(s): Tracheotomy


Introduction

Aim

  • To provide temporary access to the trachea, most commonly via making a tracheotomy incision and placing of a temporary tracheostomy tube.
  • The two key indications are to alleviate upper airway obstruction and to allow for ventilatory management intraoperatively or within a full ICU setting.
  • Method for permanent tracheostomy is not described in this component.

Uses

Bypass of upper airway obstructions

Ventilatory management

  • Means of maintaining postoperative mechanical ventilation within an ICU setting for a critical patient.
  • For some surgical procedures, the presence of the endotracheal tube within the mouth compromises access; using a temporary tracheostomy tube for anesthesia allows an unobstructed view.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Nicholson I & Baines S (2012) Complications associated with temporary tracheostomy tubes in 42 dogs (1998-2007). JSAP 53 (2), 108-114 PubMed.
  • Buback J L, Boothe H W, Hobson H P (1996) Surgical treatment of tracheal collapse in dogs - 90 cases (1983-1993). JAVMA 208 (3), 380-384 PubMed.
  • Block G, Clarke K, Salisbury S K et al (1995) Total laryngectomy and permanent tracheostomy for treatment of laryngeal rhabdomyosarcoma in a dog. JAAHA 31 (6), 510-513 PubMed.
  • Klein M K, Powers B E, Withrow S J et al (1995) Treatment of thyroid carcinoma in dogs by surgical resection alone - 20 cases (1981-1989). JAVMA 206 (7), 1007-1009 PubMed.
  • Macintire D K, Henderson R A, Wilson E R et al (1995) Transverse flap tracheostomy - a technique for temporary tracheostomy of intermediate duration. J Vet Emerg Crit Care (1), 25-31 VetMedResource.
  • Hedlund C S (1994) Tracheostomies in the management of canine and feline upper respiratory disease. Vet Clin North Am Small Anim Pract 24 (5), 873-886 PubMed.
  • Hedlund C S (1991) Tracheostomy. Probl Vet Med (2), 198-209 PubMed.
  • Harvey C E, O'Brien J A (1982) Upper airway obstruction surgery. 7. Tracheotomy in the dog and cat - Analysis of 89 episodes in 79 animals. JAAHA 18 (4), 563-566 VetMedResource.
  • Harvey C E, Goldschmidt M H (1982) Healing following short duration transverse incision tracheotomy in the dog. Vet Surg 11 (3), 77-83 VetMedResource.

Other sources of information

  • Tracheotomy with tracheostomy tube placement in dogs. dvm360: www.youtube.com/watch?v=__yF9duu2TY
  • Bray J & Hyndman P (2017) Temporary tracheostomy: a practical approach to the placement and management of a tracheostomy tube. Companion Animal 22(8), 471.
  • Mosely C A (2017) Anesthesia equipment. In: Veterinary Anesthesia and Analgesia. Lumb & Jones, John Wiley & Sons. 5th edn. Chapter 3. 

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