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Aula de Traqueotomia e Traqueostomia

Aula de Traqueotomia e Traqueostomia

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Published by api-3802299
Aula de traqueotomia e traqueostomia
Aula de traqueotomia e traqueostomia

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Published by: api-3802299 on Oct 17, 2008
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03/18/2014

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TRAQUEOTOMIA E TRAQUEOSTOMIA

Traqueotomia: \u00e9 a simples abertura da traqu\u00e9ia para qualquer
interven\u00e7\u00e3o cir\u00fargica na mesma. (Ex: ressec\u00e7\u00e3o de tumores intra-
traqueais, tempo principal durante a traqueostomia).

Traqueostomia: \u00e9 a exterioriza\u00e7\u00e3o da traqu\u00e9ia atrav\u00e9s de pr\u00f3tese
ou anastomose direta a pele da regi\u00e3o cervical ou mediastinal. A
traqueostomia pode ser tempor\u00e1ria ( uso de pr\u00f3tese) ou definitiva
(anastomose \u00e0 pele). Os objetivos principais s\u00e3o a ultrapassagem
de uma obstru\u00e7\u00e3o na via a\u00e9rea superior, laring\u00e9a ou supra
laring\u00e9a ou proporcionar acesso ao trato respirat\u00f3rio inferior para
limpeza por aspira\u00e7\u00e3o ou ministrar ventila\u00e7\u00e3o mecanicamente
assistida.

Indica\u00e7\u00f5es da traqueostomia

1 - Necessidade de aspira\u00e7\u00e3o de secre\u00e7\u00e3o br\u00f4nquica abundante.
2 - Obstru\u00e7\u00e3o infra-cric\u00f3idea, laring\u00e9a, ou supra-laring\u00e9a.
3 - Impossibilidade e intuba\u00e7\u00e3o bucal ou nasal obrigat\u00f3ria.
4 - Les\u00f5es externas de boca, face ou cabe\u00e7a.
5 - Intuba\u00e7\u00e3o endotraqueal prolongada.
6 - Diminui \u00e3o do es a o morto.

Contra-indica\u00e7\u00f5es da traqueostomia

1 - Possibilidade de intuba\u00e7\u00e3o endotraqueal.
2 - Traqueobronquite (relativa).
3 - Asma (relativa)

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