Tracheotomy procedure steps
Generally, a tracheotomy involves making a horizontal incision between the tracheal cartilages to establish an artificial airway. It can be used to treat symptoms such as laryngeal breathing difficulties and respiratory dysfunction. The specific procedure is as follows:
1. Position the patient supine with the head extended backward to expose the trachea.
2. Perform routine disinfection of the surgical area, drape with sterile towels, and administer local infiltration anesthesia.
3. After anesthesia takes effect, make a horizontal incision through the skin and subcutaneous tissue two finger-breadths below the laryngeal prominence.
4. Use scissors to dissect the muscles in front of the neck until the isthmus of the thyroid gland is exposed, fully revealing the anterior wall of the trachea.
5. With a scalpel, make an upward incision in the anterior tracheal wall, taking care not to insert too deeply and thereby injure the posterior tracheal wall.
6. Insert a tracheal retractor to open the incision, then introduce a tracheal tube and advance it into the trachea.
7. Secure the tube in place with sutures tied around the patient's neck to ensure stability.
8. Connect the tracheal tube to a ventilator or manual resuscitation bag to ensure airway patency and initiate mechanical ventilation.
If this procedure is required, it is recommended to go to a正规 hospital and have it performed under the guidance of qualified medical professionals to minimize surgical risks. Postoperatively, adequate rest is important to promote recovery.