Tracheostomy for PG students
- 1. TRACHEOSTOMY • Dr. Manorama Mittal • Dr. Namita Arora
- 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?