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Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
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Suctioning the Oropharyngeal Airway01:25

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Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
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Left Vocal Process Avulsion.

Camryn Marshall1, Omar Ramadan2, Robert T Sataloff2

  • 1Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, USA.

Ear, Nose, & Throat Journal
|February 7, 2024
PubMed
Summary
This summary is machine-generated.

Vocal fold process avulsion, caused by trauma, detaches the vocal process and thyroarytenoid muscle. This condition leads to vocal fold laxity and severe dysphonia, but early suspicion aids diagnosis and surgical repair.

Keywords:
avulsiondysphonialaryngologyvocal fold process

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Area of Science:

  • Otolaryngology
  • Laryngology
  • Surgical Pathology

Background:

  • Vocal fold process avulsion involves trauma detaching the vocal process and thyroarytenoid muscle from the arytenoid cartilage.
  • This injury can result in significant vocal fold laxity, leading to severe voice impairment (dysphonia).

Purpose of the Study:

  • To highlight the nature of vocal fold process avulsion.
  • To emphasize the diagnostic challenges due to subtle findings.
  • To advocate for a high index of suspicion for timely diagnosis and surgical intervention.

Main Methods:

  • Review of clinical presentations and diagnostic considerations for vocal fold process avulsion.
  • Discussion of the pathophysiology linking trauma to vocal fold laxity and dysphonia.
  • Emphasis on clinical suspicion and diagnostic imaging (if applicable, though not explicitly stated in abstract).

Main Results:

  • Vocal fold process avulsion is a specific type of laryngeal trauma.
  • The primary consequence is vocal fold laxity, manifesting as severe dysphonia.
  • Diagnostic findings may be subtle and easily overlooked.

Conclusions:

  • A high index of suspicion is crucial for diagnosing vocal fold process avulsion.
  • Early and accurate diagnosis facilitates effective surgical repair.
  • Prompt intervention can improve outcomes for patients with severe dysphonia due to this condition.