Introduction You review a man on the intensive care ward round who has been intubated for 3 weeks. He was admitted with a community-acquired pneumonia and has been difficult to wean from mechanical ventilation. You suggest the insertion of a percutaneous tracheostomy...
Preferred site of tracheostomy is between the 2nd and 3rd tracheal rings in the midline Tracheostomy above this site: Can lead to damage to the cricoid cartilage and first tracheal ring Results in increased risk of subglottic stenosis which is difficult to treat...
Tube of cartilage with a membranous lining continuous with the larynx Composed of 16–20 C-shaped cartilaginous rings Trachealis muscle completes the posterior wall Around 10-12 cm in length Extends down from cricoid at C6 Terminates at carina at T5- Moves anteriorly...
Anterior Relations Skin and fasciaIsthmus of thyroidSternothyroid and sternohyoid musclesManurbrium sternumThymus gland Lateral Relations Lobes of thyroidCarotid sheathLungs and pleuraArch of aorta, brachiocephalic and subclavian arteries Posterior Relations...
