Tracheostomy

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Tracheostomy?
A tracheotomy or a tracheostomy is an opening surgically created through the neck into the trachea (windpipe) to allow direct access to the breathing tube and is commonly done in an operating room under general anesthesia. A tube is usually placed through this opening to provide an airway and to remove secretions from the lungs. Breathing is done through the tracheostomy tube rather than through the nose and mouth.

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Need some opinions.

I have a character who,through certain events,is no longer able to breathe through his nose or mouth due to a deformity. My question is would he be able to breathe solely through a trach tube without the use of a ventilating (after being properly weaned,that is)? Or at least go with out it while he was awake,because I’m sure it would be needed while sleeping. I’ve read several articles about trach tubes but none of them quite covered the information I’m after. The character is set on earth with technology equal to and in some cases above our own if that helps.

Ventilation talk in the ICU

The attending, explaining the benefits of having a tracheostomy : “See, if you had Celine Dion as a patient, you would want to do a tracheostomy as soon as possible in order to save her vocal chords”

The resident : “I’m not so sure… Have you seen how she loves to show her cleavage? I don’t think that she would want a scar like that!”

Originally posted by nous-sommes-folklore

I did a craniotomy the other day & I literally saw half a brain...

the whole frontal lobe was gone, it was so damaged from the patient’s accident that the brain tissue became necrotic & just died, and it literally deflated. Well, the patient had pneumocephalus hence why the patient needed a craniotomy. But wow! It was amazing that this patient was still alert even though the patient has a tracheostomy, and responsive. It was amazing

And, I actually worked with a very nice, and funny neurosurgeon who also loves to teach, so that was just a great evening even though I worked overtime…it was worth it

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And now, for the worst makeover of the cycle/potentially ever:

1. THE MODEL MULLET

Go ahead and put the word “model” in front of mullet, Tyra, but that doesn’t make it remotely fashionable. Like, I could pretend “model tracheostomy” is a thing…

… but you’re not seeing it on a catwalk anytime soon. “Model mullet” might as well be an oxymoron.

I google image searched “famous mullet” to see if there was any kind of reasonable precedent that I’m forgetting about. Here’s who turns up:

Michael Bolton

Chuck Norris

MacGyver

John Stamos

Billy Ray Cyrus

Andre Agassi

and that kid from Home Improvement.

In fact, I scrolled through 100 photos of men before the first mulleted woman even made an appearance: 

Carol Brady. You know, a true fashion icon from the early ‘70s.

Searching specifically for modern-day models with mullets, most searches point me toward Lindsey Wixson. What websites are calling a “mullet” looks way more trendy and hipster-y than legitimately mullety, though. It’s a big contrast to Ava’s clumpy cut, which - for better or worse - seems more authentic to the trailer park. It’s as if they sewed roadkill to the back of her head.

Everything you need to know about Ava’s haircut can be read from her stylist’s bewildered facial expression:

You gotta give Ava credit. When Yu Tsai first reveals Ava’s mullet makeover, she barely flinches. She just sort of smiles and says, “Oh, okay.” Forget modeling, this girl needs to be an actress. “I’m ready to rock it,” she says post-cut. “I feel great in it, it’s easy, and it’s so fun.” She’s undoubtedly lying her ass off, but it’s fairly convincing, so good on her.

Instead of crying, Ava definitely knows how to keep things in perspective. Here, it seems like she’s reminding herself that it’s not like they gave her a mustache weave. Hey, don’t act like that wasn’t a possibility. Ava winds up thanking Tyra for the cut at panel, but it should be Tyra who’s thanking her for playing along.

Because this? This is sabotage. I already speculated that they fucked up Stefano’s hair for fun since he was already on his way out, but Ava’s haircut is meant to hinder her moving forward. So far, she’s kicked ass in every photoshoot and has to be considered a frontrunner. Four out of the last five winners have been blonde women, and Tyra isn’t trying to name another. At least Tyra gave Ava best photo once before eliminating her a few weeks from now for not looking “high fashion” enough despite being handicapped with a fucking mullet.

It’s a shame ‘cause I’ve really liked Ava so far. She’s fun, she’s kind, and she stands up for herself and her friends when warranted. She’s also not condescending or homophobic like we’ve come to expect from a lot of reality television Christians.

Mullets are said to be “business in the front, party in the back.” With this cut, though, no one’s going to want to conduct business or throw a party with Ava from either side. Even if you’re not as religious as Ava, do her a favor and pray for her. She needs it.

7 Funniest Moments of ANTM Cycle 22 Ep. 4

The Denna Laing Team: I’m a firm believer that accessories can make or break an outfit, whether it be a fun accent necklace or a pop of color in your heels. On the other hand, hospital accessories are ones I could live without. So I’m excited to say that in addition to not having to wear my fashionable hospital gown anymore, I’ve lost most of my new accessories this week including my neck brace and my tracheostomy tube. Now that I’ve lost my extra hardware, I’m capable of turning my head to see the clock hanging on the wall. I am also able to move around in my wheelchair without a hospital chaperone, and can move floor to floor without having any monitors attached to my fingers. 18 days stronger.

Watch on mylifewithlupus-blog.tumblr.com

Jasey, 1 month before her last surgery! which was september 21st 2011. the following month miss.Jasey will be having a sleep study conducted in order to determine whether or not she’s okay to have the trach removed. So far, things look promising!

I love the kids I tutor so much, but...

it seems like all they can focus on when they’re with me is the “breathing thing” on my neck. I mean, I don’t mind questions or anything like that - I’ve had to deal with it all my life. And I know they’re just curious and want to learn more about it since they’re not familiar with this type of “contraption,” as some individuals call it. 

It just gets uncomfortable when the kids start staring and staring… nonstop…and they can’t focus on their schoolwork. One little boy even said, “Ew, that’s nasty…I don’t like that breathing noise. It’s irritating.”

Will my own child think that I am weird and gross? Will she ask me why everybody else’s moms have a normal nose, while I have two? Will she be embarrassed of me? 

youtube

Demonstration of how to perform tracheostomy care for a patient. -This video is [one of many] by my favorite nurse channel on youtube, called Hawknurse.

Oh look, another TMI Tuesday in which I post something that has been in my body. I was gonna post another photo showing how much “clearer” the phlegm I suction out of my lungs has gotten since I was in the ICU but then this happened. Yes, I’ve finally reached the level of “doing so well” that they downsized my tracheostomy tube! The conversation basically went:

“We’re gonna go ahead and downsize it.”

“Right now?”

“Mm-hm.”

“…is it going to hurt?”

And then it happened. And it fucking hurt coming out (and the new one hurt going in) because holy shit look at the size of that fucking thing vs a tender, manufactured throat hole that was apparently much tighter than expected but (on a technical level) well-crafted. And I cried.

And then I coughed up the hugest wad of phlegm. While crying. (My brother did his best to console me.)

And then I asked to take a picture of it because priorities!

So here we are. Jesus, look at that fucking thing. It’s just so… I mean….just… Look at it. That thing was in my throat for slightly over a month.

My ICU experience

So yesterday I had my first off floor experience on the ICU. I was nervous beforehand as the thought of dealing with complex patients/extreme conditions had intimidated me a bit. But when I walked in I saw my mentor from last semester who paired me up with the charge nurse. Apparently there was a code blue 20 mins prior to me coming on the floor. My nurse and I was in charge with a patient who had CHF and pneumonia. The patient was producing thick copious amounts of sputum. Listening to the patient’s chest in the morning sounded horrible and we gave the patient a good suctioning which seemed to help a bit. The patient also was on a controlled mandatory ventilation. Every time the patient wanted to sleep the patients respirations would set the alarm off as the stimulus to breathe wasn’t expressed. My patient couldn’t talk because of the tubes so I pretty much was doing cherades the whole day which I’m surprisingly good at. She was very anxious and uncomfortable. Throughout the day she was very diaphoretic (sweaty) and I gave her cold cloths which she appreciated. The doctor told her she was going to have a tracheotomy done yet didn’t really explained the procedure which kind of annoyed me. When it was just her and I in the room she made motions with her hands asking is she was going to be sedated. I confirmed this and she was a lot more relieved. Which I don’t blame her I wouldn’t want to be awake for that either mwaha. I asked her if I could hold her hand and explained if I was in her spot I would want someone to hold my hand as well. She responded by taking my hand, squeezing it and giving me the most sincere appreciative look. I could see how anxious she was and by offering her my hand to hold it looked like I had taken off some of the weight of the procedure and the dauntingness of having a trache tube inserted. The doctor explained to her that she was going to be sedated/wouldn’t remember a thing when awaking yet she couldn’t be paralyzed as her heart was too weak. Watching the procedure I could see her body reacting and her hands trying to reach her throat. The doctor who did the tracheotomy had no trouble at all. About 30 minutes afterwards she was awake. I went in the room to say good bye and she had mouthed ‘thank you, I couldn’t have done it with out you’


Probably the best feeling in the world as a student nurse when you can affect your patients care so much that you know you have impacted their life in a positive way.

So I got to see two tracheostomies done and see a mitral valve flail/prolapsed mitral valve. But none of the above beats holding my patients and being with her before she was sedated.

I'm having my tracheostomy tube taken out

….A Specialist Nurse comes over and has a chat with me, she goes on to tell me that I can finally have my tracheostomy tube taken out in the next few days. I’m over the moon by this news :-).

The day I have my tube taken out finally arrives and the removal goes so much quicker than I expected, I have to keep a dressing sealed up over the hole for a few days while it heals and closes up.

I’m now breathing through my mouth without any hole in my throat at last, it heals up quickly and I’m told that it looks very neat….

youtube

Wednesday’s trach tube replacement! If you are easily squeamish but still want to see my face, it happens about a minute in. You’ll know because there’ll be a warning right before the actual procedure.

By far, the worst part of it was when he had to pull extra hard to get the cuff, but after that it was smooth sailing. Coughed up bloody phlegm for a day. That’s about it.

(And yes, you can hear my brother saying “that’s what she said” in the background.)