Are there risks in tracheotomy

There are many diseases that are prone to occur in the trachea, and when the condition is more serious, a tracheotomy is required. For example, inflammation or tumors, trauma, foreign bodies, etc. in the back will cause obstruction of the throat. Burns in the respiratory tract and brain tumors will cause the patient to become comatose, and the nervous system will also be affected. Only timely tracheotomy can alleviate the problem. So, is there any risk in tracheotomy?

First, are there any risks in tracheotomy? This surgery is suitable for symptoms: localized tracheal tumors. The length of resection generally does not exceed 6 cm. The trachea is moderately stenotic or above, and the stenosis segment generally does not exceed 4 cm. Preparation before surgery: Fiberoptic bronchoscopy to determine the location and nature of the lesion. Sputum bacterial culture plus drug sensitivity test, and selection of effective antibiotics. Training the patient to flex his neck forward enables him to cough up phlegm and eat effectively.

Second, surgical steps: Incision: For cervical tracheal resection, a transverse incision of the neck is used; for tracheal resection above the aortic arch, a transverse incision of the neck is used plus a split of the upper half of the sternum; for tracheal resection below the upper edge of the aortic arch, a right posterolateral incision should be performed. After the trachea is fully exposed, the location, adjacent relationships, and external invasion of the tracheal tumor are determined. If the lesion is resectable, thick silk traction thread is sutured 1 cm at both ends of the trachea to be resected plane. The trachea is first cut off 0.5 cm away from the lower edge of the tumor, and an endotracheal tube of appropriate diameter is then inserted into the distal trachea, through which the anesthesiologist controls breathing. The trachea was cut 0.5 cm from the upper edge of the tumor and the lesion was removed. The two ends of the trachea are anastomosed with full thickness and ligated outside the lumen. It is required to suture the tracheal wall on the side with poor exposure first. If the incision is in the neck, the posterior wall of the trachea should be anastomosed first; if the incision is in the chest, the anterior wall of the trachea should be anastomosed first. The endotracheal tube in the surgical field was removed, and the original oral endotracheal tube was inserted into the distal trachea across the anastomosis to complete the tracheal anastomosis. The anastomosis can be covered with adjacent pleural or pericardial valve sutures. 5. Use thick silk thread to suture the mandible and chest skin to maintain the postoperative cervical flexion position of 15° to 30°.

Are there any risks in tracheotomy? The risks depend on the condition. This situation should be caused by a more serious intracranial injury. In this deep coma, it is easy to develop aspiration pneumonia and may also lead to respiratory failure. In these cases, tracheotomy should be considered. Tracheotomy has certain risks, but it is more beneficial for the patient's sputum discharge and maintaining respiratory function. After recovery, most of them can heal on their own, and the impact after self-healing is not great.