A tracheostomy is a surgical procedure to create an opening in the trachea, the tube that connects the larynx to the lungs. This opening allows a tube (cannula) to be inserted to facilitate breathing, especially when the upper airway is obstructed or when the patient has significant difficulty breathing.
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Tracheostomy is a surgical procedure that may be considered in a variety of clinical settings.
People who are likely to undergo a tracheostomy have:
This procedure facilitates breathing, improves quality of life and in some cases prolongs survival.
Tracheostomy may be a treatment option when respiratory symptoms become significantly and chronically worse.
These symptoms may include
Immediate complications after a tracheostomy may include:
In the long term, other problems may occur:
Common side effects include:
Strict care, such as regular cannula cleaning, respiratory physiotherapy and humidification, can significantly reduce these risks. Regular doctor visits are essential for optimal care.
Before a tracheostomy is performed, a full medical examination will be carried out to assess the patient's general state of health and identify any contraindications to the procedure.
This includes :
Preparatory measures are put in place, such as pre-operative fasting and skin preparation in the neck area.
A tracheal operation is usually performed under general anesthesia. The surgeon begins by making a small incision in the neck, just above the Adam's apple.
The tissues are then gently pulled apart to reach the windpipe. Once the trachea is exposed, a small opening is made and a cannula, a plastic or metal tube, is inserted into the opening.
This cannula allows air to flow directly out of the lungs. Finally, the incision is closed with stitches.
During the first few days after a tracheostomy, the patient is closely monitored for possible complications.
The length of the post-tracheostomy hospital stay varies depending on the complexity of the case and the development of complications. Once discharged from the hospital, the patient must continue to follow medical recommendations and care for the cannula. In some cases, the tube may be permanently removed once the upper airway has returned to normal function.
Recovery from a tracheostomy requires time and patience.
Respiratory rehabilitation is essential to learn how to use the tube and improve lung function. Postoperative care includes regular cannula cleaning, respiratory monitoring, and respiratory physiotherapy. Respiratory physiotherapy helps the patient regain good respiratory function and cough up secretions.
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