Both endotracheal intubation and tracheostomy are suitable for those patients

Various medical conditions cause the patient to be unable to breathe on their own.

The pros and cons of tracheostomy in the elderly are mainly determined by the condition. Most elderly patients are comatose or poor respiratory function due to cerebrovascular disease, and there is also a lung infection, which requires tracheotomy, which is conducive to opening the airway and keeping the airway open. It is also conducive to the discharge of sputum, the prevention of suffocation, and the saving of patients' lives.

However, there are also many disadvantages, such as tracheostomy is a kind of trauma, which may damage local tissues and organs, affect the function of the thyroid gland or parathyroid glands, may also affect the recurrent laryngeal nerve and cause hoarseness, and may cause local infection.

Precautions. 1. Always keep the incision in the middle position, and the retractor must be lifted evenly to ensure that the incision is cut in the middle.

2. The endotracheal tube should be equipped with an air bag to avoid the aspiration of vomit into the respiratory tract, and it is also conducive to respiratory management;

3. When the trachea is incised, the endotracheal secretions should be sucked out immediately; Oxygen is given immediately after surgery, with attention to airway humidification or regular ultrasound nebulization inhalation.

4. The inner tube must be cleaned and disinfected once a day, and the replacement of the inner tube and sputum suction should be strictly aseptic.

5. Regularly deflate the air tube cuff.

Pros: It can alleviate laryngeal dyspnea, laryngeal edema and dyspnea caused by tumor compression.

Disadvantages: The patient will be more painful, there is a foreign body that continues to be placed into the trachea through the glottis, similar to the feeling of choking on drinking water, it is usually not easy to tolerate, and it is necessary to use continuous sedatives, and it is difficult to make the patient awake; It is difficult to clean, and bacteria can accumulate in the mouth, leading to infection.

Tracheostomy is one of the important measures for some patients to relieve upper airway obstruction and respiratory muscle paralysis. 1.Laryngeal obstruction: Acute and chronic laryngeal obstruction caused by throat inflammation, tumor, foreign body, trauma or scarring stenosis, resulting in hypoxia and asphyxia.

2.Obstruction of lower respiratory tract secretions3People who need to be on a ventilator for a longer period of time4

Prophylactic tracheostomy5Other factors, such as some patients who need endotracheal anesthesia surgery and cannot be intubated through the mouth and nose, and those who cannot be removed through the larynx for respiratory foreign bodies, can naturally solve respiratory problems and keep their lives safe. The disadvantages are that the patient is prone to infection through the incision or excessive dryness of the airway, and it is not conducive to the patient's speech.

Suffering. A foreign body that is continuously placed in the trachea through the glottis, similar to the sensation of choking on drinking water, is usually not tolerated, requires continuous sedation, and makes it difficult to keep the patient awake. There is an endotracheal tube in the mouth that prevents you from eating.

Intraoral endotracheal intubation compression, resulting in ulceration and infection of the tongue, lips and other parts. The glottis cannot be closed, and bacteria and other bacteria in the mouth can easily enter the airways and cause infection.

For some perennial dyspnea or because of tracheal injury can not breathe normally, people need to cut the trachea to promote breathing, but tracheostomy also has advantages and disadvantages, first of all, it is more likely to be infected, and there may be rejection reactions, and the other is that it can help patients breathe normally and avoid suffocation with sputum.

Since it is a traumatic incision, it often leads to many adverse effects, so it is important to take care of the tracheostomy after it. However, tracheostomy is not indicated for all dyspnea, and tracheostomy should not be used if the patient has significant bleeding or has first- or second-degree dyspnea. In addition, if the airway obstruction can be cleared by coughing and force, a tracheostomy may be used.

In short, the pros outweigh the cons.

After tracheotomy, the respiratory tract can be kept unobstructed, and the sputum can be sucked out in time to maintain the oxygen supply to the body, which is more troublesome for trauma care and easy to infect the respiratory tract, but it is still beneficial to cut it in order to ensure smooth breathing.

Tracheostomy is just a change of access to the ventilator, how to later the patient**, you can also pull out the tracheotomy, without surgery, the wound can grow on its own.

Tracheostomy also has corresponding complications, early incision is not supported at present, ** 2 weeks or so is appropriate to consider, but it is not absolute, if you feel that the patient can definitely be extubated in 3 weeks, and then wait is okay.

The pros and cons of manoeuvreotomy are determined by the condition. Tracheal intubation is an important rescue technique commonly used in first aid work, which can suck out endotracheal secretions or foreign bodies in time, prevent foreign bodies from entering the respiratory tract, keep the respiratory tract unobstructed, and prevent patients from hypoxia and carbon dioxide retention. The specific medication also depends on your underlying diseases and lung function status, and it is recommended to consult a respiratory physician.

Indications for tracheostomy 1Acute and chronic laryngeal obstruction such as acute laryngitis, diphtheria, laryngeal edema, throat tumors, scar stenosis, etc., 2Dyspnea due to retention of respiratory secretions Traumatic brain injury, intracranial or peripheral nerve disease, tetanus, respiratory burns, cough, decreased expectoration or laryngeal paralysis due to major thoracic or abdominal surgery.

3.Pulmonary insufficiency, severe cor pulmonale, poliomyelitis, etc., cause respiratory muscle paralysis. 4.

Laryngeal trauma, upper airway obstruction after major maxillofacial throat surgery. 5.Foreign bodies in the respiratory tract that cannot be removed by mouth.

If the patient is in a coma or has severe dyspnea that cannot be relieved by endotracheal intubation, a tracheostomy should be performed promptly.

Endotracheal intubation is a special polyethylene plastic tube inserted into the patient's trachea, and then connected to the tube by a ventilator to help the patient breathe, so that the patient can get through the most dangerous phase of the disease. Ventilators and endotracheal intubation are among the most commonly used tools in the ICU. A tracheostomy involves making a small incorporating in the front of the patient's neck and inserting a polyacetyl plastic tube.

Its purpose is twofold: one is to ensure the patency of the airway and prevent the patient from hypoxia and suffocation; The second is to make it easy for the secretions in the patient's trachea to be aspirated. Excerpt from:

MDSIN China Product Service Center (MDSIN COM). Tracheostomy is often an essential life-saving measure. However, as with any other surgery, in rare cases, complications such as anesthetic accidents, local bleeding, local subcutaneous emphysema, and local infection can occur during tracheostomy.

1. Dyspnea.

2. Temporary obstruction of the airway, tracheotomy can be suspended.

3. Be cautious when there is an obvious bleeding tendency.