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Pediatric Tracheostomy

Paediatric Tracheostomy

Position the child with chin extension appropriately
Drape the child as shown in the video
Mark the incision line
Use 15 number blade for skin incision
Remove the excessive subcutaneous fat tissue
Find the median raphe and strap muscles
Retract the strap muscles laterally
Identify the tracheal ring
Create the impression of tube for appropriate size incision
Place the stay sutures as shown in the video
incise the trachea with 11 number blade
Secure the maturation sutures
Insert the tracheostomy tube
Confirm the position and then inflate the cuff
Secure the ties and dressing at the end.

Paediatric Tracheostomy- 1. Position the child with chin extension appropriately 2. Drape the child as shown in the video 3. Mark the incision line 4. Use 15 number blade for skin incision 5. Remove the excessive subcutaneous fat tissue 6. Find the median raphe and strap muscles 7. Retract the strap muscles laterally 8. Identify the tracheal ring 9. Create the impression of tube for appropriate size incision 10. Place the stay sutures as shown in the video 11. Incise the trachea with 11 number blade 12. Secure the maturation sutures 13. Insert the tracheostomy tube 14. Confirm the position and then inflate the cuff 15. Secure the ties and dressing at the end.
1. Prolonged intubation 2. securing the airway 3. Refractory aspiration 4. Prolonged pressure support 5. Upper airway obstruction ^. Craniofacial fascial defect causing airway obstruction
None
Appropriate neck extension with chin fixing for stabilisation of trachea in midline
Bleeding & Coagulation parameter
Identification of the cartilaginous and bony neck landmark as shown in the video
avoidance of intubation and early weaning from ventilator is possible
intraoperative bleeding False passage insertion tube dislodgement tube blocks
None
None
None
Average Rating: 5.0 out of 5 (2 votes)
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DR DEEPA SHIVNANI
DR DEEPA SHIVNANI

Must watch !

5 months ago
Dr Deepa Shivnani
DR DEEPA SHIVNANI

Must watch

Demonstration of safe pediatric tracheostomy step by step.

4 months ago

Review Pediatric Tracheostomy.

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