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Tracheostomy - Coggle Diagram
Tracheostomy
Indications
Airway
burns
trauma
Extrinsic compression
Secretions
Brainstem
MND
TBI
Weaning
Trachy vs ETT
Advantages
<laryngeal injury
<sedation
reduced work of breathing < dead space
improved oral hygiene
communication
Disadvantages
Immediate
Hypoxia
positioning
Injury
recurrent larygeal nerve
Cartilage #
Haemorrhage
Air related
surgical empysema
Early
Infection
Erosion
innomonate fistula
oesophageal fistula
Occlusion
Displacement
Dysphagia
Late
Tracheal injury
vocal cord
tracheal stenosis
tracheomalacia
Stoma cloasure
Psychological
scarring
Mangement
NCEPOD
Fibroscope
Difficult airway trolley
Capnography
MDT
physio
SALT
Dietician
Outreach
portable box of essential equipment with them
Documented airway plan
Emergency ORSDD
Oxygen
Remove inner tube
Suction catheter
Deflate cuff
Decannulate
Contraindications
Local
Anatomical
tumour
goitre
surgery
radiotherapy
Infection
Unable to palpate 1st+2nd rings
Unstable neck fracture
Systemic
Coagulopathy
Haemodynmic instability
Significant respiratory support