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Anonymous users2024-02-12Tracheostomy is foreign and scary to most people. Since ancient times, neck cutting is a form of suicide, but the doctor has to cut a person's trachea, can the person still live? This article provides an overview of the important basic skill of an otopharyngologists, tracheostomy.
The two most basic conditions for a person to survive normally are normal respiratory function and normal cardiovascular function. In normal respiratory function, patency of the airway is essential. If there is a blockage on the road from the throat to the trachea, it can kill a person within minutes.
Tracheostomy is an important means of ensuring the patency of the airway. As shown in the figure below, the upper end is not passed, and the middle channel can be ventilated.
Tracheostomy has been recorded as early as the ancient Greek period, and in the 19th century, when diphtheria was popular in Europe, some doctors used tracheostomy technology to solve the problem of patients unable to breathe after laryngeal obstruction. Unfortunately, due to technical conditions and follow-up limitations, only a quarter of patients survived tracheostomy at that time. It wasn't until the beginning of the 20th century that the modern standard tracheostomy technique was finally laid.
Through a tracheostomy, the doctor allows a patient with a blocked larynx to breathe through a tracheostomy incision; Patients with severe infections of the lungs can be allowed to pass sputum through an incision after tracheostomy; Patients who cannot be weaned off the ventilator after endotracheal intubation can be removed from oral intubation. Among the many types of otolaryngology surgeries, the most life-saving surgery is tracheostomy, and George Washington, the founder of the United States, was kept bleeding because he did not get this **, and finally died.
Generally, in the operating room, when the patient has tracheal intubation, tracheostomy is a very safe operation, and the more dangerous is in the case of acute laryngeal obstruction, because there is no time to prepare sufficient equipment, tracheostomy is very dangerous, and the patient is agitated because of suffocation, and the operation in the neck can easily cause heavy bleeding, or the trachea has died before it is found.
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Anonymous users2024-02-11Journal of Practical Medicine 990315 Abstract Objective: In order to relieve dyspnea in patients with laryngeal obstruction, a set of rapid and effective ** models was proposed. Method:
Among the 195 patients with laryngeal obstruction, those diagnosed with foreign bodies or tumors underwent timely surgery. Inflammatory laryngeal obstruction is treated with adequate antibiotics, intravenous hormones, direct throat spray or ultrasonic nebulized inhalation drugs, and appropriate oxygen, sedation, calcium and diuretics; Dyspnea, closely observe the condition and be ready for surgery at any time; Immediate tracheostomy surgery. Results: Patients with foreign bodies and tumors with clear causes were operated in time.
Inflammatory laryngeal obstruction is relieved of laryngeal obstruction in a short period of time by comprehensive internal medicine**, and tracheostomy is avoided. Conclusion: Laryngeal obstruction is more common as an inflammatory disease.
**First of all, gain time to solve the problem of unobstructed breathing, timely and sufficient antibiotics, assault, high-dose hormones as the primary measure, inhalation** for **dyspnea to win time, oxygen, sedation, calcium and diuretics help to relieve laryngeal obstruction in a short time. A tracheostomy is an emergency procedure.
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Anonymous users2024-02-10During surgery, the isthmus of the thyroid gland should be pushed up or incised, and then the 3rd 4th (or 4th 5th) cartilage ring of the trachea should be cut in the anterior midline of the trachea with a sharp knife, and the endotracheal cannula should be inserted. If it is too high, it is easy to injure the first cartilage ring, which will cause laryngopharyngeal stenosis and damage the thyroid gland, causing massive bleeding; If it is too low, it is easy to make the cannula protrude or resist the bulge, causing mucosal injury and bleeding, or causing mediastinal emphysema, and even injuring the large blood vessels in the chest.
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Anonymous users2024-02-09Straight incisions are mostly used, from the inferior edge of the thyroid cartilage to close to the suprasternal fossa: generally at the 2nd 4th tracheal ring, 2 tracheal rings are picked up from the bottom up with a sharp blade (the incision of 4 5 rings is a low tracheostomy).
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Anonymous users2024-02-08This is the only place where you won't hurt the first cartilage ring.
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Anonymous users2024-02-07An important part of an emergency tracheotomy, close observation, meticulous care.
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Anonymous users2024-02-06To discuss the characteristics and effects of postoperative care for children with heart failure, laryngeal obstruction, tracheostomy.
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Anonymous users2024-02-05This can be done in consultation with an anesthesiologist.
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From childhood to the middle bridge, the old man will teach a lot of knowledge to children, which contains a lot of ways to solve problems, but there are many mistakes in these methods, specifically like drinking vinegar when eating fish is stuck in the throat by fish bones, combing more hair is good for health, and spring and autumn to cover the three old methods of spring and autumn frost are wrong, the first to eat fish is stuck in the throat and vinegar, can not solve the problem, in many old ways, eat fish when the fish is stuck in the throat and drink vinegar, can not solve the problem, in many old methods, When eating fish and being stuck in the throat by fish bones, drinking some vinegar can soften the fish bones is widely spread, but such a statement is wrong, drinking that little vinegar can not soften the fish bones at all, so it can not solve the problem, the best way to solve this problem is to go to the doctor as soon as possible to take out the fish bones, second, although combing more hair can promote blood circulation, but it is more likely to affect the hair and scalp, the old man told us that combing more hair is good for health, will make hair more, more oily, But in fact, combing too much hair will greatly affect the scalp, which is not good for the health of the hair and scalp, and the comb used to comb the hair must also choose the bone comb is the best, the daily plastic comb we use to comb the hair is actually not much better, so choosing the appropriate way to maintain the hair and scalp is the most beneficial to health, third, wearing clothes in the spring and autumn frost, in fact, it is easier to catch a cold, the elderly often say to us in the spring and autumn to cover the autumn frost, so that it is good for the body, But in fact, it is easy to sweat profusely if you wear too little in the spring, and it is easy to freeze and catch cold if you wear too little in the autumn, which is very bad for the body, and the correct way should be to know the appropriate increase or decrease of clothing according to the specific situation, which is the best way to ensure the body! I hope my answer will be helpful to you! Thank you!