eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Laryngology

Tracheostomy: Workup

Author: Jonathan P Lindman, MD, Consulting Staff, Department of Otolaryngology, ENT Care Associates
Coauthor(s): Charles E Morgan, DMD, MD, Assistant Professor, Department of Surgery, Division of Otolaryngology, University of Alabama at Birmingham
Contributor Information and Disclosures

Updated: Apr 22, 2009

Workup

Laboratory Studies

  • So many tracheostomies are performed electively in patients with secure airways (eg, for prolonged intubation) that to obtain the hematocrit and coagulation factors preoperatively is reasonable so that adequate correction can be made.
  • As with any emergent procedure, the decision to perform an emergent tracheostomy is not altered by any laboratory values.

More on Tracheostomy

Overview: Tracheostomy
Workup: Tracheostomy
Treatment: Tracheostomy
Follow-up: Tracheostomy
Multimedia: Tracheostomy
References
Further Reading

References

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  3. Tobin AE. Tracheostomy teams - filling a void. Crit Care Resusc. Mar 2009;11(1):3-4. [Medline].

  4. Scales DC, Thiruchelvam D, Kiss A, Redelmeier DA. The effect of tracheostomy timing during critical illness on long-term survival. Crit Care Med. Sep 2008;36(9):2547-57. [Medline].

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  7. Hartnick CJ, Bissell C, Parsons SK. The impact of pediatric tracheotomy on parental caregiver burden and health status. Arch Otolaryngol Head Neck Surg. Oct 2003;129(10):1065-9. [Medline].

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  13. Henderson JJ, Popat MT, Latto IP, Pearce AC. Difficult Airway Society guidelines for management of the unanticipated difficult intubation. Anaesthesia. Jul 2004;59(7):675-94. [Medline].

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  15. Bailey BJ. Head and Neck Surgery--Otolaryngology. 2nd ed. Philadelphia: Lippincott Raven; 1998.

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  17. Bernard AC, Kenady DE. Conventional surgical tracheostomy as the preferred method of airway management. J Oral Maxillofac Surg. Mar 1999;57(3):310-5. [Medline].

  18. Berrouschot J, Oeken J, Steiniger L, Schneider D. Perioperative complications of percutaneous dilational tracheostomy. Laryngoscope. Nov 1997;107(11 Pt 1):1538-44. [Medline].

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  21. Griffen MM, Kearney PA. Percutaneous dilational tracheostomy as the preferred method of airway management. J Oral Maxillofac Surg. Mar 1999;57(3):316-20. [Medline].

  22. Hill BB, Zweng TN, Maley RH, Charash WE, Toursarkissian B, Kearney PA. Percutaneous dilational tracheostomy: report of 356 cases. J Trauma. Aug 1996;41(2):238-43; discussion 243-4. [Medline].

  23. Kane TD, Rodriguez JL, Luchette FA. Early versus late tracheostomy in the trauma patient. Respir Care Clin N Am. Mar 1997;3(1):1-20. [Medline].

  24. Koitschev A, Simon C, Blumenstock G, Mach H, Graumuller S. Suprastomal tracheal stenosis after dilational and surgical tracheostomy in critically ill patients. Anaesthesia. Sep 2006;61(9):832-7. [Medline].

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  26. Moe KS, Stoeckli SJ, Schmid S, Weymuller EA Jr. Percutaneous tracheostomy: a comprehensive evaluation. Ann Otol Rhinol Laryngol. Apr 1999;108(4):384-91. [Medline].

  27. Powell DM, Price PD, Forrest LA. Review of percutaneous tracheostomy. Laryngoscope. Feb 1998;108(2):170-7. [Medline].

  28. Scheinhorn DJ, Stearn-Hassenpflug M. Provision of long-term mechanical ventilation. Crit Care Clin. Oct 1998;14(4):819-32, viii. [Medline].

  29. Stock CR. What is past is prologue: a short history of the development of tracheostomy. Ear Nose Throat J. Apr 1987;66(4):166-9. [Medline].

  30. Wood DE. Tracheostomy. Chest Surg Clin N Am. Nov 1996;6(4):749-64. [Medline].

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Further Reading

In 2004, the Difficult Airway Society published its guidelines for management of the unanticipated difficult intubation. 13

Keywords

tracheostomy, tracheotomy, surgical airway, cervical airway, stoma, tracheotomy, intubation, cricothyrotomy, airway obstruction, cannula, upper airway obstruction, cricoid cartilage, thyroid cartilage, cricothyroid membrane, vocal cords, trachea, tracheostomy tube, tracheotomy tube, percutaneous tracheostomy, open tracheostomy, percutaneous transtracheal jet ventilation, PTJV, prolonged intubation, airway

Contributor Information and Disclosures

Author

Jonathan P Lindman, MD, Consulting Staff, Department of Otolaryngology, ENT Care Associates
Jonathan P Lindman, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Otolaryngology-Head and Neck Surgery, Phi Beta Kappa, and Triological Society
Disclosure: Nothing to disclose.

Coauthor(s)

Charles E Morgan, DMD, MD, Assistant Professor, Department of Surgery, Division of Otolaryngology, University of Alabama at Birmingham
Charles E Morgan, DMD, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery
Disclosure: Nothing to disclose.

Medical Editor

John Schweinfurth, MD, Associate Professor, Department of Otolaryngology, University of Mississippi Medical Center
John Schweinfurth, MD is a member of the following medical societies: American Academy of Otolaryngic Allergy, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Karen Hall Calhoun, MD, Professor, Department of Otolaryngology-Head and Neck Surgery, The Ohio State University
Karen Hall Calhoun, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngic Allergy, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Head and Neck Society, American Medical Association, American Rhinologic Society, Association for Research in Otolaryngology, Society of University Otolaryngologists-Head and Neck Surgeons, Southern Medical Association, Texas Medical Association, and Texas Medical Association
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown

 
 
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