Thursday, March 11, 2010

Williams Tracheostomy

Supplies.
Headlamp
Cautery
Extra retractors - Langenbach
Split drape
Dentals

Position pt with roll transversely across shoulders
Prep neck
Setup instruments and prepare dental rolls

STEPS:
- Transverse skin incision
- "Defat" wound
- Place langenbach retractors in wound and incise linea alba with catery
- Dissect down to thyroid capsule
- Try to retract thyroid gland away and off of trachea or else go through it slowly with cautery
- Use dentals to push of pretracheal fascia
- Make transverse incision along inter ring space
- Cut/strech with mets, retractors
- Insert tube inflate cuff , secure in place with neck strap then place gauze.

- Posted from iPhone

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