1. RESPIRATORY TREATMENT MODALITIES
Nadeeka Jayasinghe
Week 06

2. 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

3. 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

4. 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)

6. Tracheostomy care