| A tracheostomy is an opening in the neck that communicates with the trachea. Otherwise known as a direct passageway from the outside air to the trachea. After insertion, a tracheostomy tube is inserted in patients to keep the tract open. A tracheostomy is indicated when a patient does not have the ability to maintain an airway and needs longer-term respiratory support. It is also indicated for better clearance of secretions in the lungs and airways.
Endotracheal intubation is used when a patient is in acute respiratory failure, but if the patient does not appear to be progressing in weaning from the ventilator or has an underlying condition that will not improve, a tracheostomy is utilized for ventilation.. Although intubation is quickly performed in most settings and there is no need for a surgical procedure, there can be laryngeal problems, stenosis or other injury at the site of the cuff, and if dislodged, an expert must replace the endotracheal tube. These patients require care in the Intensive Care Unit. | | | | |
