How to Perform a Tracheostomy

____

How to Perform a Tracheostomy

____

In this video, Justin from the Institute of Human Anatomy discusses the tracheostomy procedure, as well as the relevant anatomy of the airway.

____

Cool Stuff

Merchandise

Support Us on Patreon!

Codex Anatomicus
Coupon Code for 20% OFF: IOHA20

____

References

YouTube

Trachea Anatomy

Tracheostomy

____

Video Timeline

00:00 - 00:19 Intro
00:20 - 02:12 The Larynx
02:13 - 03:05 The Trachea
03:06 - 05:00 Thyroid Gland
05:01 - 05:39 Tracheotomy vs Tracheostomy
05:40 - 06:40 Indications
06:41 - 07:14 Landmarks
07:15 - 08:45 Incisions
08:46 - 09:41 Complications
09:42 - 10:00 Recovery
10:01 - 11:04 Don't Use a Pen...
11:05 - 11:35 Outro

____

Video Editor: Ashley Bigbie

____

#Aura #Tracheostomy #Tracheotomy

[ginsoakedgirl]

I had a tracheostomy 20 years ago (in my young 20s) as a result of pneumonia-induced ARDS. In my opinion you skipped one of the coolest parts - when the trach tube is removed they just slap a piece of tape over the hole, no stitches required. The skin grows together on its own (apparently the only place in the body where this happens? I may be wrong there). Every day the nurses would hold up a mirror so I could see the trach hole getting smaller and smaller, it was so cool! I made a complete recovery and wear my trach scar with pride :) Thanks for your content!!! xoxoxo

[Amitai]

I’ve been really interested in tracheostomy’s recently, but haven’t been able to find a video that covers it all until now. Thank you so much!

[solitarybeag]

I’ve had multiple trachs sec to cancer surgeries, one time using it for 3 months at home. Be careful downsizing the trachs. A resident once inserted a 9 trach when we were trying to downsize to a 6. My breathing was great! But not helpful to healing. You didn’t talk about the balloon needed to be deflated along with capping the trach.
Really enjoy your videos. I’m a retired (47 yr) RN. USA

[linjoy]

I was the anaesthetic nurse for my ENT theatre. I remember one patient for reasons I won’t get into, required an emergency tracheostomy.. We had to perform it in my anaesthetic room, because the patient had previous radiotherapy when the emergency tracheostomy unfortunatly the Innomonate artery had moved. It was within 2 -3 minutes there was 3 Consultant Anaethetists, plus in theatre there was a cardiovasculr surgeon and bypass being set up. It took about 3 hours before we had the patient stable to go into theatre. We also were using a fast delivery system that could put a pack of emergency O neg blood into the patient within 5 minutes. Im delighted the patient went to Intensive care and made a full recovery. Always BEFORE usuing a muscle relaxant for a general anaesthetic you should have a look at the patients vocal chords to ensure there is room to pass an endotracheal tube. If there isn’t enough room you can always waken the patient, consult the surgeon, make other plans, without risking a patients life.

[julzbergener]

Thx for posting this. I never thought to lookup the procedure. When my now 21 yr old son was an infant he had a post cricoid mass that would balloon and occlude his airway, mostly when he cried and built up thoracic pressure. He was trached from 2 months til he was 3 yrs old and decanulated. He had a DL&B every 3 months to keep an eye on the mass, which ended up, after being removed at 3, a lymphangioma with gastric an pancreatic cells in it! His very educated and experienced ENT had never seen this in his career. He also developed scar tissue, which had to be lasered several times, between his vocal chords from non use. Then a he was surgically decanulated, he cried a breath holding cry between post-op and the ICU and developed subcutaneous edema which sent air underneath his skin from the site to his abdomen. It was extremely painful and required Morphine.. My poor baby looked liked the Stay Puft Marshmallow man. If you gently pressed on his skin you could feel and hear popping likened to bubble wrap. He was visited by many students (Children's Hospital of Pittsburgh is a teaching hospital) because it was such a rare phenomenon. He's now strong and healthy. But that was an experience I'll never forget. Sorry about being long winded 🥱😊

[Canadiangirl]

I loved this video! It was so interesting to see all the landmarks, thyroid gland and layers of muscles that go over the trachea. I had this done as a young teen when I had to have surgery for a tumour at the base of my brain because they needed to go through my upper palate to reach it. I had so much swelling that I couldn’t breathe and even my parents didn’t recognize me after the surgery.
It also broke my heart to see the picture of the newborn baby with the extremely swollen tongue when you were talking about the emergency tracheotomy. It took me a few seconds to even recognize what I was looking at!
Love all of your videos ✌🏼💜🇨🇦

[JasperDD]

As a non med student this was just the tutorial I was looking for! 😂

[munkemis]

As an SLP student it's so cool to see the real anatomy of the larynx and trachea. Great and informative video!

[carlyeckert]

I would LOVE to see a video on medical terminology! To be able to understand what all these medical terms are would be awesome! I am studying medical terminology so it would help alot!!

[SuiLagadema]

It wasn't a Tracheostomy but it was a Crico (cricotomy). I was so nervous because I was just graduated from paramedic school and it's one of those moments of "I've done, I Know how to do it, I know I can do it" but you're still afraid because you're doing it on a living person. I managed to overcome my fears and made it.

[blandantey]

Thank you for the breakdown of the tracheostomy operation. I hope I never have to go through one, but life is not about what you want but what is necessary!

[squishyturtle]

As somebody who has to sit in the ICU next to my fiancé this channel has helped me learn so many things on what’s going on with him and how it’s going on and what’s happening .

[eternitydoor]

Interested in this. My dad had a work accident and ended up in critical condition years ago needing one of these. He survived but had permanent damage via ventilator machine to lungs and brain damage from accident. (Roofer fell from multiple storey building). Knowing that this procedure is one of the things that kept him alive means this is really helpful to look at

[hannahhellmeier]

I was able to see this while shadowing an ICU physician and it was one of the coolest things I've seen

[roxou]

This made me remember how our science teacher, when I was 11, told us to do a tracheostomy with an emtpy pen in case of emergency chocking. My firefighter dad indeed chocked when he heard that at dinner.

[jbk]

Trach sites are rarely stitched together after they are no longer needed. Surgical closure is only required when spontaneous closure has not occurred after approximately 21 days.

[Kotapises]

Thank you for all these great and informative videos! I've learned so much about things I've been wondering and things I never knew I was wondering about. You're definitely one of the best education channels on YouTube! 😊

[wcsoblake]

6:05 working EMS I have seen a trach also used in anaphylaxis due to tounge swelling and/or airway swelling.

[Mutlaqthatguy]

Thank u for the arabic translation it’s really helpful for me as a medical student ❤️❤️🙏

[austinyang]

Neat video! I have a trache in my entire life and honestly, watching some demo surgical videos on a trache procedure makes me squeamish.