Tech-Special Procedures(Transtracheal Catheterization)

  1. An emergency procedure for inserting a tube through the neck into the trachea to create an airway.
  2. Indications:BASNOL
    Which is most common?**
    • bypass upper airway
    • airway obstruction**
    • swelling
    • neoplasia
    • oral sx
    • long term mechanical ventialation
  3. What indication makes traditional intubation difficult?
    airway obstruction-foreign body, pharyngeal edema
  4. PPV
    positive pressure ventilation
  5. 2 methods of placement:
    • controlled
    • slash
  6. Which is the preferred method?
  7. Which method is performed in less than 30 seconds?
  8. 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
  9. Slash is done in an emergency only and since aseptic technique is abandoned what is needed?
  10. 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
  11. What rings is the slash between?
    3rd and 5th
  12. The controlled technique is at the same site using anesthesia and aseptic technique in what position?
  13. What is the opening called?
    a stoma
  14. 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
  15. Stay sutures are put in until
    the skin tightens up
  16. The cuff should NEVER be inflated except
    in cases of mechanical ventilation
  17. These tubes are usually commercial but you can also make on out of a
    ET tube just remember to remove the adapter
  18. Complications:LNTS
    • laryngeal stenosis
    • nosocomeal pneumonia.infx
    • tube dislodgement
    • SQ emphysema
  19. Transtracheal aspiration aka
    transtracheal wash
  20. Indications for transtracheal aspiration:AICPI
    • acute bronchopneumonia(culture+cytology)
    • ID cells involved in inflammation
    • chronic cough
    • productive cough
    • ID of infectious agents
  21. Complications for transtracheal aspiration:TAPIS
    • tracheal laceration and hemorrhage
    • acute dypsnea
    • pnuemomediastinum
    • iatrogenic infx
    • SQ emphysema
  22. 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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Tech-Special Procedures(Transtracheal Catheterization)