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Tracheostomy Tube Insertion In Kolkata

Tracheostomy

Tracheostomy Procedure in Kolkata

Manipal Hospitals, Broadway, Kolkata, is the leading hospital for performing Tracheostomy procedures for critically ill patients in an emergency setting. A Tracheostomy, often referred to as a Tracheotomy, is a medical procedure in which a tube is inserted into a patient's trachea, or windpipe, through an incision made in the neck. The tube might stay for the long or short term. Air is allowed to enter the lungs through an incision made in the neck beneath the vocal cords, where it is introduced. The tube is then used to breathe, avoiding the throat, nose, and mouth. This procedure is really helpful in saving the lives of many patients who face difficulty in breathing. We have a team of extremely skilled surgeons, consultants, radiologists, and nurses for Tracheostomy Tube Insertion in Kolkata who are dedicated to providing you with the safest, least painful, and most efficient surgical procedures. We always ensure the best clinical outcome in terms of diagnosis, treatment, surgeries, and aftercare for our patients. Manipal Hospitals has a proven track record of numerous successful Tracheostomy procedures that have benefited our countless happy patients. 

 

 

FAQ's

You could require a Tracheostomy for the following reasons:

  • To facilitate breathing if a blockage occurs in your throat
  • To clear your lungs of extra fluid and mucus
  • To provide your lungs with oxygen using a device known as a ventilator
     

The goal of Tracheostomy is to treat a deficiency of airflow to the lungs. A person who has a catastrophic accident or acute illness that closes their airway may require an emergency Tracheotomy. There are four primary indications for performing a Tracheotomy:

  • Extended reliance on a ventilator to breathe
  • To avoid a blocked upper respiratory tract
  • To tidy and clear the airway of secretions
  • To more conveniently or securely provide oxygen to the lungs

Inadequate lung airflow can be caused by a variety of illnesses and traumas. Some of them are:

  • Tumours, like the benign cystic hygroma that can develop on a newborn's neck
  • Infection, such as croup or epiglottis
  • A narrowing of the airway below the voice chords and above the trachea is known as subglottic stenosis
  • Subglottic web
  • Tracheomalacia
  • Paralysis of the vocal cords
  • Damage to the larynx or spasms
  • Anomalous (inborn) variations in the respiratory system
  • A tiny jaw or large tongue that obstructs the airway
  • severe injuries to the mouth or neck
  • Burns to the airways caused by breathing smoke or caustic materials
  • Obstructive sleep apnea
     

Once you and your surgeon have concluded that you are a good candidate for a Tracheostomy, the surgeon will examine you to make that determination. The surgeon will evaluate your neck's range of motion. Surgeons and anesthesiologists working together as a team, will go over the full protocol and other options. You will get instructions on when to cease eating, drinking, and taking your medications prior to an elective Tracheostomy surgery, which will include general anaesthesia. 

The doctor prepares and cleans your neck while you are under anaesthesia or are sedated with numbing drugs. To assist in maintaining your neck in its stretched posture, the crew will arrange a roll behind it. The surgeons next utilise a technique known as video Bronchoscopy imaging guidance to determine the ideal location for the tube insertion. They use a needle and a flexible tube known as a cannula to create a tunnel into that location. After using a specific tool to gently enlarge (dilate) the aperture, the tracheostomy tube is inserted inside. Sutures and tracheostomy tape are used to bind the trach tube to ensure its immobility.

Early issues that might occur either during or shortly after the Tracheotomy operation include:

  • Bleeding
  • Pneumothorax: air trapped around the lungs
  • Pneumomediastinum, or air trapped in the chest's deeper levels
  • Subcutaneous emphysema, or air trapped beneath the skin around the tracheostomy
  • Harm to the oesophagus, the tube
  • Damage to the recurrent laryngeal nerve, which controls the voice chords
  • Blockages in tracheostomy tubes may occur due to mucus, blood clots, or airway wall pressure. By suctioning, humidifying the air, and choosing the right tracheostomy tube, blockages can be avoided. 
     

After receiving a Tracheostomy for months or years, the following complications might arise:

  • The trachea thinned (eroded) as a result of the tube pressing on it (tracheomalacia)
  • Formation of a tracheoesophageal fistula, or gap between the oesophagus (swallowing tube) and the trachea (windpipe)
  • Formation of lumps (granulation tissue) that can require surgical excision prior to decannulation (trach tube removal)
  • Collapse or narrowing of the airway above the tracheostomy site, which could need to be repaired surgically again
  • The tracheostomy tube aperture could not shut by itself once it was removed. There is a higher chance that tubes that are left in place for 16 weeks or more may require surgical closure.
     

Indeed. With a Tracheostomy, many patients can breathe on their own. With a Tracheostomy, air may enter your lungs directly since it avoids your mouth, throat, and nose. Your tracheostomy tube can be connected to a ventilator (breathing machine) if you are unable to breathe entirely on your own. Your lungs will receive more oxygen as a result of this.
 

It will take some getting used to talking while having a Tracheostomy procedure. By placing a finger over your tracheostomy hole and squeezing air out of your mouth, you may talk. You can learn how to accomplish this from a speech-language pathologist utilising speech therapy methods. Speaking valves are another tool that can facilitate speech. With them, you can talk without covering your tracheostomy hole with your finger. Find out from your healthcare provider whether you qualify for this.
 

There are several advantages to having a Tracheostomy, particularly when compared to tracheal intubation, which involves inserting a tube down your neck and into your windpipe. Benefits consist of:

  • Improved comfort
  • Reduced need for sedation
  • Easier time weaning off of mechanical ventilation
  • Faster rehabilitation
  • Better nutrition
  • Earlier communication

Depending on the individual, healing time frames might differ. However, following a Tracheostomy, complete recovery often takes two weeks. You will continue to work with a speech-language pathologist to enhance your communication abilities after your first rehabilitation is finished.

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