When we should consider Trach collar in a patient who are intubated or on ventilator for respiratory distress?
114033
Lots of variables go into considering a tracheostomy.  Has this person been intubaqted before?  What is the diagnosis and prognosis?  How long has this intubation been?  I agree with Dr Arm....a week usually is long enough to know prognosis.  Another thought is how mentally aware is this person?  Is there a problem...or has there been a problem with aspiration post stroke because the vocal cords are paralyzed?  Will this person need frequent deep suctioning to keep the airway clear and will this need be indefinate.  Intubation is a temporary answer for protecting the airway,  Tracheostomy is long term and sometimes permant answer for protecting the airway.
460785
Laryngeal and tracheal stents are solid or hollow absorbable or nonabsorbable tubes of various shapes, sizes, and materials. Stents are used as primary treatment for lumen collapse or to stabilize a reconstructive effort of the larynx or trachea to prevent collapse. Stents can be used for the larynx and the trachea individually, or they can be used interchangeably or concomitantly. This article reviews (1) various laryngeal, tracheal, and combination stents; (2) disease processes for which stents are used; and (3) new stent designs. \n\nFor excellent patient education resources, visit eMedicine's Procedures Center . Also, see eMedicine's patient education article Bronchoscopy.\n\nHistory of the Procedure: The word stent is derived from Charles B. Stent, a British dentist who practiced in the late 19th century. Stent developed material that was used for dental impressions and, later, to support skin grafts. In current practice, the word stent refers to material that supports some form of tissue against collapse. Most often, stent describes devices that maintain the lumens of tubular organs. \n\nIn 1965, Montgomery described the use of silicone prostheses for tracheal stenting. Surgeons in other subspecialties, such as gastroesophageal, genitourinary, and vascular surgery, developed stents that remain useful in expanding lumens in these areas. This evolution increased the interest of otolaryngologists to develop stents for the larynx and tracheobronchial tree.
884627
Yes you still have to breathe for them.  \nCPR is like artificial heartbeat and breathing.  \nIf you are interested, maybe you should take the certification class.
79591
This page from the American Head and Neck Society has home care instructions for changing the tube and cleaning the inner cannula:\nhttp://www.headandneckcancer.org/patienteducation/docs/tracheostomy.php
529149
Deep breathing counting in for a count of six and out for a count of four - this is a good technique for calming yourself and your heart as it regulates your intake of CO2 and gives you something else to concentrate on.  Rescue Remedy is also fantastic if you need an immediate result - I swear by it in any stressful situation!  Check if the herbs within are legal in your state/country (I'm in UK).\nSee below...
1028797
well theres one for pulse and one for oxygen saturation.  check also with respiratory tech infor
683445
The process is called intubation, and the tube is called an endotracheal tube, or ET tube for short.\n\nIt does depend on the type of operation you have, and what type of anestetic is used. Normally, if you are under "general  anestetic" you are intubated.\n\nIntubation involves the insertion of the ET tube between the vocal chords, and into the trachea. The ET tube has a hole at each end, and the end of the tube that resides in the trachea has an inflatable balloon that helps keep the tube in the proper place. \n\nOnce completed, intubation creates a "patent airway" which means that the air & oxygen is getting directly to the lungs.
203956
Sterile technique and Universal precautions. You should not being doing this. A trained healthcare worker should. What are you doing this for?
962880
I have plenty of CPR's, there is no cause, some life threatning conditions require CPR as a hope of survival. Condition of such patients is indeed critical otherwise they would not require CPR. It is a very scary thing to see, I am sure doesn't feel good to see the light on the other side. Good luck
925354
instead of having your collar fold down on itself, put it up straight!\n\n=)
858677
u should never perform cpr on an alert person.  it is dangerous an can cause internal damage as well as respiratory side effects
1168785
I found the following information on the below sites.\n\nThe Non-Rebreather mask (NRB) are used for patients requiring large quantities of oxygen.  Patients suffering from traumatic injuries or cardiac related illnesses call for the NRB.  The NRB employs a large reservoir that fills while the patient is exhaling.  The exhalate is forced through small holes on the side of the mask.  These holes are sealed while the patient is inhaling, thus preventing outside air from entering. The patient is breathing pure oxygen.  The flow rate for the NRB is 10 to 15 LPM.\n\nEMS*USA Non-Rebreather Mask w/Safety Vent Pedi/Child and Adult
723964
Hi there !\nFollowing , as normal causes , could be thought about :\n=wrong technique  (preparation of the area etc)\n=wrong person (lack of expertise)\n=wrong area (wrong choice of area)\n=wrong equipment (non-sterile or improperly  \n   sterilised syringes and needles)\n\nwrong technique = technique involves the cleaning of the area with betadine, and alcohol with sterile cotton swabs etc. if not properly done, chances for injection abscess is there .\n\nwrong person = there is a lot of difference between injection done by a doctor ,            staff nurse and a nursing asistant ..agreed ?\n\nwrong area = all medicines cannot be injected at the deltoid area. muscle thickness, how much irritant the medicine is .. etc makes difference ...eg: Tetanus Toxoid causes vague discomfort for couple of hours after the injection. such medicines when  given at a more bulky muscular area, it is better !\n\nwrong equipment = the words explain by itself ..\n\nIf at all it occurs, early diagnosis is very important ! For this "early diagnosis" to be made,  proper "past medical history" of the patient is very important !\n\nbest wishes !
356997
Generally no because during intubation assuming you are having a general anaesthetic, intubation may be difficult and increase levels of sputum in the lungs puts you more at risk.\n\nSurgery is risky anyway why increase the level of risk when you don't have to.
20805
The mechanism that drives a human to breath is dependent upon CO2 receptors in the body--both peripheral chemo receptors and central chemo receptors. As with all receptors in the body (excluding pain receptors) they will adapt when exposed to a stimulus over a long period of time. A person known to retain CO2 has long since been exposed to elvated CO2 levels and the CO2 receptors have adapted.  For this type of patient--their drive to breathe is no longer driven by elevated CO2 levels. They rely primarily on oxygen sensitive chemo receptors. (When the oxygen level in the arterial blood--PAO2 falls below 60mmhg-it will tell the respiratory control centers in the brain to initiate respiration.) Administering high levels of oxygen to an individual such as this can be harmful and dangerous. High levels of supplemental oxygen raise the PAO2 levels--therefore the oxygen chemo recptor never sends the signal to the respiratory center to breathe. This will knock out the patients only remaining chemical signal to initiate respirations. \nIf your goal is administer a medication via a nebulizer (ie the standard one on the market) the use of moderate flow (5 LPM) of oxygen should not significantly elevate the PAO2 levels. The nebulizer is not a closed system and therefore is mixed with room air the only has an oxygen concentration of 21%. Ideally, the use of compressed air is utilized for such treatments.
126360
In our hosital, the CNAs do vitals q4h including pulse oximetry checks.  They will notify the nurse and the Resp care personnel if there is a problem with abnormal respers and/or low oxygen levels.  They help in CPR doing compressions AND bagging the patient, providing different equipment as it is asked for, taking notes on what is done, meds used and the time the meds or procedures are done.  Some of our CNAs are trained in reading cardiac monitors and I have trained a couple to do EKGs.  They know about CO2 narcosis so that they are aware of symptoms inorder to notify us if the symptoms exist in a patient.  They help in I & Os so as to notify the nurse if there is abnormal I & O ratio....I am not sure what you are looking for in your report, but basically, the CNA is our support system on several levels in the care of all patients and they have to know a problem when they see it.  Positioning patients is important for better breathing and the avoidance of bed sores....so many things are involved!  Our CNAs (nurse techs) are extememly important members of the patient care team.
681419
Extubating patients when they're awake because you know that they can breathe on their own. While they're still under anesthesia, there's still the possibility they might not get enough oxygen on their own or have difficulty breathing on their own. Once they're awake and no longer under anesthesia, their brain has better control of their breathing. People freak out about the tracheal tube because you're not used to having things shoved down your throat when you wake up. But you do need to wait for them to wake up and try to keep them calm when they wake up, reassuring them that you'll take the tube out soon.