Tracheostomy Tube

Identifying Points:

  1. Consists of an outer tube and inner tube.
  2. Inner tube is slightly longer than the outer tube.
  3. There is a flange (rounded end) in the outer tube.
  4. In the flange there are two holes for tying tapes around the neck after tracheostomy.

Types of Tracheostomy Tube:

  1. Double type (metallic)
  2. Single type made with PVC (Polyvinyl chloride)

Holding Method:

  1. Hold in left hand.
  2. Mouth of the tube directed to the examiner.
  3. Concavity directed upwards.

 Indications of tracheostomy:

  1. To bypass upper respiratory tract obstruction.
  2. Tracheo-broncheal toileting.
  3. To reduce dead air space.
  4. Instant intermittent positive pressure ventilation.

Absolute Indications of Tracheostomy:

  1. Carcinoma of the larynx.
  2. Multiple papilloma of larynx in children.
  3. Laryngeal diphtheria.
  4. Open or closed injury to the larynx.
  5. Foreign body in the larynx.

 

ECG Notes Interpretation and management guide

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Types of Needle

Round Curved needle with thread

A) According to edge of needle:

  1. Round body
  2. Cutting body

B) According to shape of the needle:

  1. Straight
  2. Curved- 1/2 circle, 3/8th circle etc

C) According to fixed with thread or not

  1. Atraumatic (with thread)
  2. Traumatic (without thread)

Use:

  1. Curved round body needle is used in suturing peritoneum, broad ligament pedicles, cut margins of the uterus and the vaginal wall during episiotomy.
  2. Curved cutting body needle is used in suturing skin, rectus sheath, vaginal wall and reconstruction of the cervix after amputation etc.

N:B: Use straight needle is limited. It can be used in skin suturing.

Round Curved needle with thread
Atraumatic(with Thread) round Curved Needle
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