TRACHI-PASS 2025

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Indications include relief of airway obstruction, secretion management, and secure access for prolonged mechanical ventilation. The precise timing of tracheostomy remains controversial, but most centers proceed within 5 to 14 days, depending on the prognosis of the patient and the cause of initial intubation.
Breathing tubes in the mouth can only be used for a short while. Tracheostomies allow patients to be connected to a breathing machine for longer periods of time. For some patients this can mean a few extra days or weeks and for others it can mean needing life support for months or for the rest of their life.
A skin incision is then marked in the midline anterior neck 1 to 2 cm inferior to the cricoid cartilage. A horizontal or vertical incision may be utilized. The incision is extended through the platysma muscle to expose the strap muscles (sternohyoid and sternothyroid), identifying the median raphe.
The three most common reasons why a tracheotomy is performed are: Prolonged dependence on a ventilator for breathing. To bypass an obstructed upper airway. To clean and remove secretions from the airway. To deliver oxygen to the lungs more easily or safely.
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