1. Lt. Col. Sayed Nusrat Raza FCPS (Pak), FRCS (Glasg.)
TRACHEOSTOMY
Lt. Col. Sayed Nusrat Raza
FCPS (Pak), FRCS (Glasg.)

2. INDICATIONS ACUTE LARYNGEAL OBSTRUCTION
REMOVAL OF RETAINED SECRETIONS & F.B.
TO PREVENT ASPIRATION OF SECRETIONS
RESPIRATORY INSUFFICIECY

3. ADVANTAGES OF TRACHEOSTOMY
REDUCES DEAD SPACE
REDUCES AIRWAY RESISTANCE
READYMADE PASSAGE FOR SUCTION
IPPV CAN BE DONE

4. EMERGENCY OPERATION INTERMEDIATE PROCEDURE ELECTIVE OPERATION
TYPES OF TRACHEOSTOMY
EMERGENCY OPERATION
INTERMEDIATE PROCEDURE
ELECTIVE OPERATION

7. POST OPERATIVE MANGAEMENT
SIZE AND SHAPE OF TUBE
MAINTINENCE OF TUBE
Repeated suctions
Humidification to prevent crust formation
Mucolytic sprays
PREVENTION OF INFECTION
PRESSURE OF TUBE OVER SURROUNDINGS

8. DECANNULATION
IN ADULTS
IN CHILDREN

9. COMPLICATIONS HAEMORRHAGE INFECTION CO2 APNOEA SURGICAL EMPHYSEMA
INJURY TO SURROUDING STRUCTURES
CRUSTING OF TUBE
TRACHEAL STENOSIS
ULCERATION OF TRACHEA

10. HANDICAPS AFTER TRACHEOSTOMY
APHONIA
INABILITY TO COUGH
INABILITY TO DO HEAVY MANUAL WORK
INABILITY TO SWIM
EXPOSURE OF LUNGS TO ENVIRONMENT
ANOSMIA