What is Tracheostomy

What is Tracheostomy    

Tracheostomy is a method in which an incision is made on the front part of the neck opening a direct air passage through an incision in the trachea. The resulting stoma can work as a separate airway or as a site for a tracheostomy tube to be inserted. This tube enables a person to breathe through this airway.

History of Tracheostomy

The tracheotomy is one of the ancient surgical methods. A tracheotomy was depicted on Egyptian tablets way back to 3600 BC. Asclepiades of Persia is believed to be the first person to perform a tracheotomy in 100 BC. The first successful tracheotomy was conducted by Prasovala in the 15th century.  Guidi discovered an original method for tracheotomy in the 16th century.

The term tracheotomy first appeared in print in 1649. Tracheotomies were generally facilitated for emergency treatment of upper airway hindrance. In 1799, George Washington died due to upper airway blockage, may be severe epiglottitis or an abscess. In 1965, the facilitation of intubation and respiratory technique for neonatal patients was explained by McDonald and Stocks.

Purpose of Tracheostomy

The purpose is to make an additional airway to enable patient to breath. These can be made urgently when there is airway blockage, or may be conducted in conjunction with a tracheostomy tube or identical tool to ensure the airway during surgery or other procedures.

Types of Tracheostomy Tubes

A tracheostomy tube is a bent tube that is inserted into a tracheostomy stoma. There are various types of tracheostomy tubes that vary in a couple of features for diverse purposes. 

A commonly facilitated tracheostomy tube encompasses three parts: outer cannula with neck plate, inner cannula, and an obturator. The outer cannula is the outer holding the tracheostomy open. A neck plate stretches from the sides of the outer tube and manifest holes to attach cloth ties or velcro strap across the neck. The inner cannula fits within the outer cannula. Tracheostomy tube is inserted facilitating the obturator. The patient is offered the tube that fits best to his/her needs. The probability of these tubes keeps changing depending on the type of tube and may also alter during the winter or summer months. Some of the mostly used tracheostomy tubes include:

  • CuffedTube with Disposable Inner Cannula

  • Cuffed Tube with Reusable Inner Cannula

  • Cuffless Tube with Disposable Inner Cannula

  • Cuffed Tube with Reusable Inner Cannula

  • Fenestrated Cuffed Tracheostomy Tube

  • Fenestrated Cuffless Tracheostomy Tube

  • Metal Tracheostomy Tube

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