RESPIRATORY TREATMENT MODALITIES Nadeeka Jayasinghe Week 06
Objectives Discuss treatment modalities for: Tracheostomy care Metered dose inhalers Artificial airway management Deep breathing, coughing and turning Chest drainage and IC tube management Nasotracheal suctioning Weaning a patient from mechanical ventialtion
Tracheostomy A tracheostomy is an opening surgically created through the neck into the trachea to allow direct access to for ventilation Done in operating theatre or during an emergency Provides an airway Can remove secretions easily Temporary vs Permanent
Tracheostomy - indications Congenital abnormalities (laryngeal hypoplasia, vascular web) Upper airway obstruction due to foreign body Supraglottic or glottic conditions (infection, vocal cord paralysis) Neck trauma with severe injury to thyroid or cricoid cartiledges Subcutaneous emphysema Severe sleep apneoa Aspiration, inadequate cough Inability to wean off a ventilator (sec. to resp failure)
Tracheostomy care