tracheostomy
Pronunciation: tray-kee-AH-stuh-mee
A surgical procedure creating an opening in the anterior neck to place a breathing tube directly into the trachea.
Full Definition
A tracheostomy is a surgical airway procedure commonly performed in surgical critical care patients requiring prolonged mechanical ventilation or those with upper airway obstruction. The procedure involves creating a stoma (opening) in the anterior neck, typically between the second and fourth tracheal rings, and inserting a tracheostomy tube. This procedure reduces dead space ventilation, decreases work of breathing, improves patient comfort, and facilitates weaning from mechanical ventilation. Tracheostomies can be performed using open surgical technique or percutaneous methods, with timing typically considered after 7-10 days of mechanical ventilation in appropriate candidates.
Usage
Usage note: Distinguish from 'tracheotomy' (the surgical incision itself) in medical documentation.
In Context
- "Percutaneous tracheostomy was performed on ventilator day 8 for anticipated prolonged respiratory failure." — Procedure note
- "The patient tolerated tracheostomy capping trials and was successfully decannulated." — Weaning protocol documentation