tracheostomy
Pronunciation: tray-kee-OS-tuh-mee
Surgical opening in the trachea to create an airway below the larynx. Often performed in pediatric patients requiring long-term mechanical ventilation.
Full Definition
A surgical procedure creating an opening (stoma) in the anterior wall of the trachea, typically between the second and fourth tracheal rings. In pediatric critical care, tracheostomy is indicated for patients requiring prolonged mechanical ventilation, those with upper airway obstruction, or to facilitate weaning from ventilatory support. The procedure allows for more comfortable ventilation, improved oral hygiene, and potentially earlier mobilization compared to prolonged endotracheal intubation.
Usage
Usage note: Distinguish from cricothyrotomy, which is an emergency airway procedure.
In Context
- "The patient underwent percutaneous dilatational tracheostomy on day 14 of mechanical ventilation." — ICU progress note
- "Tracheostomy care protocol includes daily assessment of stoma site and securing device integrity." — Nursing care plan