Type of Surgery
Information

Last updated: 11/24/2009
Emergency tracheotomy
In the emergency tracheotomy, there is no time to explain the procedure or the need for it to the patient. The patient is placed on his or her back with face upward (supine), with a rolled-up towel between the shoulders....
This positioning of the patient makes it easier for the doctor to feel and see the structures in the throat. A local anesthetic is injected across the cricothyroid membrane.
Nonemergency tracheotomy
In a nonemergency tracheotomy, there is time for the doctor to discuss the surgery with the patient, to explain what will happen and why it is needed. The patient is then put under general anesthesia. The neck area and chest are then disinfected and surgical drapes are placed over the area, setting up a sterile surgical field.
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Even though we are constantly breathing, we do not often think about what is happening when we do so. This narrated animation describes respiration of the lungs and oxygenation of the blood.
For a tracheotomy, an incision is made in the skin just above the sternal notch (A). Just below the thyroid, the membrane covering the trachea is divided (B), and the trachea itself is cut (C). A cross incision is made to enlarge the opening (D), and a tracheostomy tube may be put in place (E). (Illustration by GGS Inc.)
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Other Information
Tracheotomy and tracheostomy are surgical procedures on the neck to open a direct airway through an incision in the trachea (the windpipe). They are performed by paramedics, veterinarians, emergency physicians and surgeons. Both surgical and percutaneous techniques are now widely used.
While tracheostomy may have possibly been portrayed on ancient Egyptian tablets, the first correct description of the tracheotomy operation for suffocating patients was described by Ibn Zuhr in the 12th century, and the currently used surgical tracheostomy technique was described in 1909 by Dr. Chevalier Jackson from Pittsburgh, Pennsylvania.
Other Information
Adenoid surgery is very safe, but every operation and anaesthetic has a small risk. This is much the same as the risks of everyday life. For example, crossing the road, driving a car, flying in a plane.
-P H Jones
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