Tracheostomy

Tracheostomy is a procedure where an opening is created in the front of the neck. A tube is inserted through the trachea for breathing. If there is a need, it can be connected to an oxygen supply, and a breathing machine called a ventilator. It is usually done to bypass obstructed airways, clear secretions in the airway, and provide oxygen to the lungs.

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What could be the reason for my ears to look different after T tube insertion?

Query: Hi doctor, I had to correct Eustachian tube dysfunction. Ears pop after yawing, drinking, and swallowing. Then I have to pop my ears by pinching my nose and ears throughout the day. I just had my third operation on my ears. This time I have had T tubes inserted. I have made the mistake of looking ...  Read Full »


Dr. Mohammed Osama Aboborda

Answer: Hi, Welcome to icliniq.com. Yes, the two pictures are different (attachment removed to protect the patient's identity). I think that the first picture shows that the tube is not fixed well. It would help if you revisited your surgeon. Continue your medical treatment and keep your hands away from...  Read Full »

How long can tracheostomy tube be kept in the neck?

Query: Hello doctor, My brother is having the problem of not able to breathe properly. Now the doctor has planned to advise for tracheostomy. How long it should be in the neck? Will there be any complication?  Read Full »


Dr. Divakara P

Answer: Hi, Welcome to icliniq.com. See, tracheostomy is done if it is expected that the patient who is on ventilator may take more than 10 days to come out of ventilator. Now the duration till it will be there in neck depends on the cause for which tracheostomy has been done. If his primary disease impro...  Read Full »

Kindly predict my father's survival with spontaneous brain stem bleeding.

Query: Hi doctor, My father, who is 61 years old, complained of an episode of vomiting followed by unresponsiveness and decreased movement. As per summary, there is spontaneous brain stem bleeding with obstructive hydrocephalus, that is, post-EVD. I want to know about his survival risk. I am waiting for a...  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. Your father has right basal ganglia bleeding with intraventricular extension - EVD (external ventricular drain) in situ. Such patients have very slow recovery (after stabilization), which may take weeks to months. But, the most important thing required is good nursin...  Read Full »

My father is in coma.Tracheostomy has been done.Is it safe to remove tracheostomy at this stage?

Query: Hello doctor, My father is in coma. Tracheostomy has been done. He is off the ventilator, but has coughing problems. His GCS is 7. Is it safe to remove tracheostomy at this stage?    Read Full »


Dr. Divakara P

Answer: Hi, Welcome to icliniq.com. If his breathing pattern is normal and he is maintaining oxygen saturation in normal limits, he can be considered for tracheostomy closure.  But if there is no significant improvement in GCS (Glasgow Coma Scale) or if not expected to improve, then better remove the trach...  Read Full »

Why is there aspiration of feeds in baby and what can be done?

Query: Hi doctor, My baby has undergone hospitalization many times since birth. She has been placed with tracheostomy and gastrostomy tube due to which mobility of the baby is not possible. We are consulting with renowned ENT surgeons and pediatric doctors and we had been told that ''the aspiration can b...  Read Full »


Dr. E. Venkata Ramana

Answer: Hi, Welcome to icliniq.com. The aspiration of feeds is due to the presence of bulbar palsy and palate pharyngeal muscle incoordination. As per the doctor's advise, try to improve the nutrition of the child and weight. Once the child gains a proper weight, then decannulation (removing tracheostomy tu...  Read Full »

Kindly help me know the quality of life after a tracheostomy for my 77-year-old father.

Query: Hello doctor, My 77-year-old father is in ICU, and he is advised for a tracheostomy procedure. Kindly help me know the quality of life and survival rate after this procedure. Thanks.  Read Full »


Dr. Anjali

Answer: Hello, Welcome to icliniq.com. Thanks for your query. Tracheostomy is needed if a patient has difficulty in weaning with a ventilator. However, the quality of life after the ventilator depends upon the hygienic care during suction and tube change. A need for tracheostomy depends upon the pati...  Read Full »

Why is a 28-year-old not able to breathe off the ventilator?

Query: Hi doctor, My query is regarding a female patient aged 28 years. She has been on ventilator by means of a tracheostomy for 50 days. She has been on CPAP mode for two weeks, but unable to sustain respiration off the ventilator. Please help.  Read Full »


Dr. Amolkumar W. Diwan

Answer: Hello, Welcome to icliniq.com. Young female on prolonged ventilator through tracheostomy and having difficulty in weaning is considered to be a very bad prognosis. You have not mentioned proper medical history, indications for ventilation and under which medications she is on. There are many things...  Read Full »

How can I take care of a brain paralysis patient at home?

Query: Hello doctor, My mother's age is 65 years. 15 days back she got brain paralysis on both sides (autoimmune encephalitis). Now the doctor is saying treatment is over. Now take her to home and just give nursing to her. Still feeding pipe is there. How we should take care of her at home?  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. Your concerns seem genuine. There are a lot of neurological conditions, medical conditions which do not get completely improved. Either they remain as such with a deficit or may have some clinical improvement with time. It is the limitations of medical science. But s...  Read Full »

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