Tech-Special Procedures(Transtracheal Catheterization)
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An emergency procedure for inserting a tube through the neck into the trachea to create an airway.
Which is most common?**
- bypass upper airway
- airway obstruction**
- oral sx
- long term mechanical ventialation
What indication makes traditional intubation difficult?
airway obstruction-foreign body, pharyngeal edema
positive pressure ventilation
Which is the preferred method?
Which method is performed in less than 30 seconds?
In the slash technique aseptic technique is abandoned to save the animal's life, but what should you be careful of?
make sure trachea remains functional and don't lacerate vessels
Slash is done in an emergency only and since aseptic technique is abandoned what is needed?
A local anesthetic is applied after and the trachea is stabilized, but where was the slash made?
ventral midline halfway b/t larynx and the thoracic inlet
What rings is the slash between?
3rd and 5th
The controlled technique is at the same site using anesthesia and aseptic technique in what position?
What is the opening called?
The tube is kept in to prevent collapse what is to be considered?
becomes clogged with mucous and must be changed frequently q4hrs or sooner
Stay sutures are put in until
the skin tightens up
The cuff should NEVER be inflated except
in cases of mechanical ventilation
These tubes are usually commercial but you can also make on out of a
ET tube just remember to remove the adapter
- laryngeal stenosis
- nosocomeal pneumonia.infx
- tube dislodgement
- SQ emphysema
Transtracheal aspiration aka
Indications for transtracheal aspiration:AICPI
- acute bronchopneumonia(culture+cytology)
- ID cells involved in inflammation
- chronic cough
- productive cough
- ID of infectious agents
Complications for transtracheal aspiration:TAPIS
- tracheal laceration and hemorrhage
- acute dypsnea
- iatrogenic infx
- SQ emphysema
In transtracheal aspiration the animal is awake and has lidocaine where is the catheter inserted and threaded?
- between the 3rd and 5th rib
- once inserted attach syringe
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