Equis ISSN 2398-2977

Trachea: tracheotomy

Contributor(s): Graham Munroe, Rachel Murray

Introduction

  • An elective or emergency procedure to relieve acute or impending upper respiratory obstruction.

Uses

Elective
  • Following nasal/laryngeal surgery or whenever post-operative respiratory obstruction is anticipated.
  • Retrograde pharyngostomy/endotracheal intubation to permit surgery on the larynx such as arytenoidectomy   Larynx: arytenoidectomy  or oral cavity surgery.
  • An option for management of upper respiratory tract partial obstruction.
    Emergency
  • Obstruction of upper respiratory tract airway   Neck: tracheostomy - foal  :
  • Oxygen insufflation during hypoxic crisis.

Advantages

  • Can be performed in standing horse.
  • Relatively simple to perform.
  • Cheap.

Disadvantages

  • Wound infections especially if emergency without suitable aseptic preparation.
  • Long-term damage to tracheal cartilages and obstruction.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good for tracheotomy.
  • Overall prognosis depends upon reason for procedure.

Further Reading

Publications

Refereed papers


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