Question

The patient with a long history of respiratory issues, currently has respiratory failure and multiple attempts to wean from the ventilator have been unsuccessful; therefore, the decision to perform a tracheostomy was made. A 3-cm incision was made approximately two fingerbreadths above the sterna notch. Subcutaneous fat was dissected and removed. The strap muscles were identified and divided, and an incision was made between the second and third tracheal ring with an inferior-based tracheal flap being created. The inferior tracheal flap was sewn to the inferior skin edge, creating a skin flap with 3-0 Vicryl in order to secure the stoma. The ET tube was slowly withdrawn to just above the tracheostomy site. An 8.0 XLT Shiley trach was inserted with no difficulties. root operation

Answer 1

A tracheostomy is a surgical procedure where an opening is created in the trachea to insert a tube that allows for breathing when the upper airway is obstructed or long-term ventilation is needed. The patient with respiratory failure underwent this procedure successfully with the placement of an 8.0 XLT Shiley trach tube.

Step-by-step explanation:

The procedure described involves the creation of a tracheostomy, which is a surgically created opening in the trachea to secure an airway for a patient experiencing respiratory failure. During a tracheostomy, an incision is made in the neck and an opening is created between the tracheal rings to allow for the insertion of a tracheostomy tube, bypassing obstructions in the upper airway or assisting with long-term ventilation. In the detailed tracheostomy procedure, the strap muscles were divided, an incision was made between the second and third tracheal ring, and an inferior-based tracheal flap was created and secured. An endotracheal tube (ET tube) is often used during surgeries and critical treatments to maintain an open airway, which in this case was withdrawn to accommodate the tracheostomy tube. The tracheostomy was successfully performed with an 8.0 XLT Shiley trach tube inserted without difficulty.