Felis ISSN 2398-2950

Tracheostomy: temporary

Synonym(s): Tracheotomy

Contributor(s): Vetstream Ltd, Kathryn Pratschke

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

  • Laryngeal injuries/obstruction, tracheal trauma.​
  • Nasomaxillary trauma or electrical/chemical burns.
  • Neoplastic lesions Trachea: neoplasia.
  • Foreign bodies Trachea: foreign body.
  • Severe laryngeal edema, laryngospasm.

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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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 to 2007). JSAP 53 (2), 108-114 PubMed.
  • 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.

Other sources of information

  • 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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