Traqueostomia - Final

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Seminário sobre traqueostomia.

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Traqueostomia:Princpios e TcnicaDefinioProcedimento cirrgico que realiza a abertura e a exteriorizao da luz traqueal para fornecer uma nova via para a ventilao(PIRES & STARLING, 2010; VIEIRA et al, 2000)

(http://saibamaisfonohospitalar.blogspot.com.br/p/traqueostomia_30.html)

(http://www.hospital-int.net/article/intersurgical-extends-its-eco-range-of-products.html)IndicaesIndicaesObstruo das vias areasDisfuno larngeaTraumaNeoplasiasApneia do sonoParalisia dos mm. respiratrios(VIEIRA et al, 2000; PIRES & STARLING, 2010)Indicaes(PIRES & STARLING, 2010; VIEIRA et al, 2000; ZOLLINGER JR. & ZOLLINGER, 2008)Suporte ventilatrio prolongadoLimpeza das vias areasEntub. Endotraqueal vs Traqueostom.Melhores resultados do tratamentoIncapacidade de expelir secreo traqueobrnquicaAnatomia CirrgicaAnatomia Cirrgica

(NETTER, 2011)Laringe/TraqueiaCart. TireoideCartilagem CricoideCart. Traqueais (anis)Ligg. Anulares (MINNICH & MATHISEN, 2007;ALLEN, 2003)Anatomia Cirrgica

(MINNICH & MATHISEN, 2007)InervaoN. Larngeo Recorrente(MINNICH & MATHISEN, 2007;ALLEN, 2003)Anatomia Cirrgica

(MINNICH & MATHISEN, 2007)Irrigao (poro cervical)Ramos da a. tireoidea inferiorAnastomoses laterais (MINNICH & MATHISEN, 2007;ALLEN, 2003)Anatomia Cirrgica

(NETTER, 2011)M. esterno-hioideoM. esternotireoideoM. esternocleidomastoideoMM. Pr-traqueais(ALLEN, 2003)

Anatomia CirrgicaPeleTec. SubcutneoPlano dos mm. pr-traqueaisIstmo da glnd. tireoideTraqueiaEstruturas por ordem de apario(NETTER, 2011)(ALLEN, 2003)Tcnica CirrgicaTcnica CirrgicaPosicionamento do paciente(MARSICO & MARSICO, 2010; TOWNSEND et al, 2005 )

Decbito dorsalCoxim sobre os ombrosPescoo extendidoQueixo na linha mediana(VIEIRA et al, 2000)

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(https://www.youtube.com/watch?v=thjhhByzlwo)Ps-operatrioPs-operatrioTroca/Lubrificao do curativoFixao da cnulaAspirao de secreesLimpeza/substituio da cnula internaTroca da cnula externaUmidificao do arRetirada definitiva da cnula(PIRES & STARLING, 2010; ZOLLINGER JR. & ZOLLINGER, 2008)RefernciasPIRES, M. T. B.; STARLING, S. V. Erazo: Manual de Urgncias em Pronto-socorro. 9 ed. Rio de Janeiro: Guanabara Koogan, 2010. VIEIRA, O. M. et al. Clnica Cirrgica: Fundamentos Tericos e Prticos. So Paulo: Atheneu, 2000. v. 2 TOWNSEND, C. M. et al. Sabiston, tratado de cirurgia: a base biolgica da prtica cirrgica moderna. 17 ed. Rio de Janeiro: Elsevier, 2005. v. 2 ZOLLINGER JR, R. M. ; ZOLLINGER, R. M. Zollinger: atlas de cirurgia. Rio de Janeiro: Guanabara Koogan, 2008. NETTER, F. H.Atlas de Anatomia Humana. 5 ed. Rio de Janeiro: Elsevier, 2011. MINNICH, D. J.; MATHISEN, D. J. Anatomy of the Trachea, Carina, and Bronchi. Thoracic Surgery Clinics, v. 17, p. 571585, 2007. MARSICO, P. S.; MARSICO, G. A. Traqueostomia. Pulmo, v. 19, n. 1-2, p. 24-32, 2010.ALLEN, M. S. Surgical anatomy of the trachea. Chest Surgery Clinics of North America, v. 13, p. 191-199, 2003.Obrigado!