English
Tracheostomy Surgery in Bhubaneswar

Tracheostomy

Tracheostomy Surgery in Bhubaneswar

When the air passage to the lungs is blocked or reduced, a tracheostomy surgery in Bhubaneswar is performed. A surgical opening is created through the neck into the trachea, opening the airway and helping with breathing. This opening is called a stoma, and the procedure is technically referred to as a Tracheotomy. However, both of these terms are usually used interchangeably. 

A tracheostomy tube is placed in the hole, allowing breathing to bypass the mouth, nose, and throat. This procedure may be performed in an emergency when the person has a sudden airway problem due to a traumatic injury. It can be a planned surgery, often due to conditions such as severe injuries to the face or neck, tumours, chronic lung diseases, or a prolonged need for mechanical ventilation. Tracheostomy can be a temporary or permanent procedure, depending on your medical situation.

Manipal Hospitals, Bhubaneswar, has a world-class ICU and Critical Care Unit to handle all types of complex and emergency cases related to breathing difficulties. Our team efficiently performs Tracheostomy procedures, saving a patient's life. If needed, a tracheostomy tube will be connected to a ventilator to facilitate easier breathing. We ensure better treatment outcomes with careful monitoring and patient-centric post-surgery services, thereby minimising complications. We understand this procedure can be life-saving in critical situations, so we follow strict protocols to enhance healing and prevent infection, improving the patient's quality of life.

 

FAQ's

Tracheostomy can be performed for various reasons, sometimes as an emergency or a planned procedure. The conditions that require Tracheostomy are:

  • Have difficulty swallowing

  • Obstruction in the upper airway (mouth, nose, or throat)

  • Trouble breathing due to lung conditions, injury, or swelling

  • Undergo airway reconstruction (after surgery on the larynx or pharynx)

  • Need mechanical ventilation for an extended period due to certain medical conditions

  • Diseases, including throat cancer and vocal cord paralysis, that obstruct or constrict the airway 

  • Severe trauma to the neck or head that obstructs breathing

  • Emergencies where breathing is obstructed and a breathing tube cannot be put through the mouth

  • Congenital abnormalities of the airway

  • Facial burns or injury

  • Anaphylaxis

  • Obstructive sleep apnea

  • Paralysis of the muscles used in swallowing

The doctor will make the decision best suited to your medical condition.

  • The preparation for the Tracheostomy procedure will depend on the type of procedure you will be undergoing.

  • Most likely, you will be receiving general anaesthesia, so you will be asked to avoid eating and drinking for several hours before the procedure.

  • You will be asked to stop taking certain medications.

  • You will need to stay in the hospital for several days, so make the necessary arrangements.

  • Take comfortable clothing, personal care items, entertainment items, and communication methods like a notepad, a pen or pencil, etc., with you to the hospital.

  • If it is done as an emergency treatment, there won’t be any preparation.

After transitioning to the recovery room, you will be monitored closely for any complications. Specialists will provide instructions regarding the care of your tracheostomy site, including maintenance and cleaning. Antibiotics are prescribed to reduce your risk of infections. Depending on the severity of your condition and individual factors, a Tracheostomy is done temporarily or permanently. The hole remains open if the Tracheostomy procedure is done permanently. Furthermore, our specialists will assist you in arranging a consultation with a speech therapist to facilitate communication while on a Tracheostomy tube.
 

  • In most cases, a Tracheostomy will be done under general anaesthesia but can also be done under local anaesthesia, depending on your condition.

  • Tracheostomy can be done either through Surgical Tracheotomy or Minimally Invasive Tracheotomy, called Percutaneous Tracheotomy.

  • The surgeon will make an incision (small in the case of a minimally invasive procedure) in the base of the neck, just below your Adam’s apple.

  • This incision will pass through your trachea (windpipe).

  • Next, your surgeon will create a tracheostomy hole wide enough to fit a tracheostomy tube inside.

  • Once the tube is in place, the surgeon will secure it with a band or a neck strap that goes around your neck to keep it in place during recovery.

  • The doctor may use temporary sutures to secure the faceplate to the skin of your neck.

  • In case you are unable to breathe on your own, the surgeon will connect the tracheostomy tube to a ventilator (breathing machine).

  • You will have to stay in the hospital for several days, and your vital signs and progress will be monitored to ensure a successful recovery.

  • You will learn skills to cope with Tracheostomy.

  • You will be guided on how to care for your surgical site and clean your tracheostomy tube.

  • A speech therapist will help you speak again and communicate.

  • The team will prepare you for eating and swallowing with the help of a speech therapist.

  • You will learn to cope with dry air by using saline, a humidifier, or a vaporiser.

  • Other post-operative instructions will be shared, along with a follow-up appointment schedule.

 

Tracheostomy offers a variety of benefits over other procedures, such as tracheal intubation. These include:

  • Better comfort

  • Reduced need for sedation

  • Better nutrition

  • Earlier communication

  • Faster rehabilitation

  • Easily weaned off from mechanical ventilation

The risks associated with the Tracheostomy procedure are:

  • Infection

  • Bleeding

  • Damage to the trachea

  • Damage to the oesophagus

  • Tracheoesophageal fistula

  • Blocked tracheostomy

  • Trapped air under the skin

  • Scar tissue in the trachea

  • Pneumonia

  • Damage to the thyroid gland

  • Breakdown of the area around the stoma

  • Tracheitis

  • Lung collapse

  • Injury to a recurrent laryngeal nerve

These risks and complications can be reduced by following all post-operative instructions carefully and seeking doctor help immediately in case of an issue.

The recovery after a Tracheostomy procedure will differ among individuals, and it generally takes around 2 weeks to recover fully. Though you may face a little discomfort in speaking and swallowing, working with a speech therapist will help tackle these issues, giving you a good quality of life. Even if the tracheostomy tube is permanent, you can still lead a long and fulfilling life, but you will have to take care of the tube properly.

A Tracheostomy tube is a catheter inserted into your windpipe that helps air and oxygen reach your lungs. This tube can be of different types, and the doctor will choose the one best suited to your condition. Most people can breathe on their own with this tube, as it bypasses the nose, throat, and mouth, sending air directly to your lungs. But in case you cannot breathe properly with this tube, then it will be attached to a ventilator, which increases the flow of oxygen to your lungs.

Home Bhubaneswar Specialities Icu-and-critical-care Tracheostomy-2

Appointment
Health Check
Contact Us
review icon
Review Us
Call Us