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TRACHEOSTOMY

TRACHEOSTOMY. Dr. Manorama Mittal Dr. Namita Arora. www.anaesthesia.co.in anaesthesia.co.in@gmail.com. 55yr.old man with Ca. larynx. Q1: What comes to our mind first? Q2: What are the relevant points in the history? Q3: What do you see on examination?. Tracheostomy for Ca Lx.

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TRACHEOSTOMY

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  1. TRACHEOSTOMY • Dr. Manorama Mittal • Dr. Namita Arora www.anaesthesia.co.inanaesthesia.co.in@gmail.com

  2. 55yr.old man with Ca. larynx Q1: What comes to our mind first? Q2: What are the relevant points in the history? Q3: What do you see on examination?

  3. Tracheostomy for Ca Lx Q1: What are the advantages of a pre-op. traecheostomy? Q2: What are the disadvantages of pre-op.traecheostomy? Q3: Traecheostomy done in ward & patient suddenly dies. What is the likely cause? How can we prevent it? Q4: What are the problems with post-op. traecheostomy? Q5: For how long is humidification required in these patients?

  4. Heat & Moisture Exchanger (artificial nose) Q1: What is HME? Q2: How does it work?

  5. Tracheostomy in a patient of chronic bronchitis with CO2 narcosis. Q1: Take a hypothetical case of chronic bronchitis with CO2 narcosis with traecheostomy.He was put on ventilator following which he became conscious & then suddenly died.Why?

  6. Tracheostomy vs Prolonged intubation in paediatric patient Q1: What are the problems of traecheostomy in children? Q2: What should be method of suctioning & the interval in between the two suctions? Q3: What are the methods of humidification? Q4: What are the problems with humidification?

  7. Weaning in paediatric patient with tracheostomy Q1: Why is weaning difficult? Q2: What is ward decannulation?

  8. Patient on ventilator Q1: What are the different types of cuffs?

  9. Indications of Tracheostomy Q1: What are the indications of preoperative Tracheostomy? Q2: What are the indications of post-op Tracheostomy? Q3: What are the other indications of elective Tracheostomy? Q4: What are the indications of emergency Tracheostomy?

  10. Cricothyroidotomy Q1: What are the indications of cricothyroidotomy? Q2: What are the advantages of cricothyroidotomy? Q3: What are the disadvantages of cricothyroidotomy? Q4: What is an absolute contra-indication to jet ventilation through needle cricothyroidotomy?

  11. Percutaneus Dialational Tracheostomy (PDT) Q1: Enumerate the steps of PDT? Q2: What are the advantages of PDT? Q3: What are the disadvantages of PDT? Q4:Complications of PDT?

  12. Complications of Tracheostomy Q1: What is the cause of massive hemorrhage following Tracheostomy? Q2: What is the cause of mediastinal emphysema? Q3: What is a persistant stoma? Q4: Usually how long does a stoma take to close?

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