10.5 Tracheostomies – Clinical Procedures for Safer Patient ... | 合法醫療器材資訊網

Stomal/pulmonaryinfection.Performdressingchangesandtracheostomycareevery8hoursandasneeded.Usesteriletechniquefortracheostomysuctioning.

A tracheostoma is an artificial opening made in the trachea just below the larynx. A tracheostomy tube is a tube that is inserted through the opening, or stoma, to create an artificial airway. Patients who need long-term airway support (long-term patients who are intubated) or who have a need to bypass the upper airway may receive a tracheostomy. A tracheostomy (see Figure 10.1) can be very traumatic for a patient, and many find it difficult to adjust to having one.

The tracheostomy may be permanent or temporary. It is created surgically through the trachea (upper airway remains intact), larynx (upper airway is not patent), or cricothyroid (usually for temporary emergency access to airway). Tracheostomy tubes are inserted for airway maintenance, ventilation, removal of secretions, or as an alternate airway (e.g., following laryngectomy).