[手术和皮肤扩展性气管切除术 - - 技术和陷]
Carolin Hess1, Uyen-Thao Le1, Severin Schmid1
1Klinik für Thoraxchirurgie, Universitätsklinikum Freiburg, Freiburg, Deutschland.
Zentralblatt fur Chirurgie
|January 10, 2024
概括
气管切除术是一种用于长期呼吸支或呼吸道问题的手术,可以通过手术或皮肤进行. 虽然通常是安全的,但潜在的并发症,如气管狭窄症需要谨慎管理.
科学领域:
- 医疗程序 医疗程序
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 呼吸系统药物 呼吸系统药物
背景情况:
- 气管切除术对于需要长时间机械通风或面临困难的断奶过程的患者至关重要.
- 指示范围扩展到管理吞障碍与神经肌肉条件中的吸收和严重的小肠缩.
研究的目的:
- 详细说明气管切除术的适用情况.
- 为了比较穿皮扩展性气管切除术和外科手术气管切除术的技术.
- 概述相关的手术内,手术后早期和晚期并发症,包括长期后果.
主要方法:
- 对气管切除术的指示进行审查.
- 透皮扩展性气管切除术技术的描述.
- 描述手术气管切开术的技术.
主要成果:
- 气管切除术适用于机械通风,断奶,吸入和小喉狭窄.
- 穿皮和手术方法都是可行的,每一种都有特定的并发症概况.
- 长期风险包括气管狭窄和气管.
结论:
- 气管切除术是一个重要的干预措施,具有既定的指示和技术.
- 了解并区分并发症类型对于患者护理至关重要.
- 意识到长期的并发症,如气管狭窄和气管是管理的关键.
相关概念视频
Tracheostomy: Procedure and Tubes
597
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
597
Tracheostomy Care I: Pre-procedural Steps
189
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
189
Oxygen Delivering System III: Tracheostomy and T-piece
977
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
977
Tracheostomy Care II: Procedure
189
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.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
189
Tracheostomy Decannulation
176
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
176
Trachea
2.1K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
2.1K


