New Updated 2nd Edition
Focus on Tracheotomies with self-assessment tool at the end of every chapters
Affiliated website for Blogs, clinical cases, & YouTube links
A manual with focus on nuances of care required for the patient with a tracheostomy or a laryngectomy to guide the practitioners and patients along the full continuum of care.
· 439 pages, 12 chapters
· Clinical scenarios woven through chapters
· Review questions at the end of each chapter
· Includes: Tracheostomy in the Pediatric Patient & Care of the Patient with a Laryngectomy
· Expanded trarcheostomy product information
· Guidelines for acute airborne illness and aerosol generating procedures
Table of Contents:
Chapter 1. Normal functional anatomy of the airway and selected disorders
Ch 1 reviews the functional anatomy of the upper airway, and provides detailed mechanism of airway protection, swallowing, coughing, and speech. The relevance of their coordinated function is highlighted by selected common disorders encountered with tracheostomies.
Chapter 2. The tracheotomy procedure
Ch 2 details surgical approach for tracheotomy, including open and percutaneous techniques, with illustrations and bronchoscopic photos. An inclusive list of preoperative preparation, anesthetic management, as well as intraoperative and postoperative pitfalls is included.
Chapter 3. Types of tracheostomy tubes and related appliances
Ch 3 discusses the different types of tracheostomy tubes, including tube structure, unique features, indications, and use. An exhaustive array of figures and photos crisply detail structural features of dual and single cannula, cuffed and uncuffed tubes, as well as special use tubes such as metal, extra-length, and fenestrated tubes.
Chapter 4. Fitting and changing tracheostomy tubes
Ch 4 outliines the proper procedure for changing a tracheostomy tube, and the decisions involved in matching the appropriate tube to the individual patient, including when to use cuffed vs. uncuffed tubes, dual cannula vs. single cannula tubes, and when to use extended length tubes. A detailed appendix lists inner diameter, outer diameter, and length of adult, pediatric, and neonatal tubes.
Chapter 5. Addressing complex tracheostomy issues
Ch 5 details numerous conditions that are encountered with the tracheostomy patient. Steps for management in different settings include the critically ill patient on mechanical ventilation, infectious airborne illness, cuff leaks, cuff changes with altitude and certain anesthetics, and complex wounds. A separate guided discussion about living with a tracheostomy is provided for patients and their caretakers.
Chapter 6: Phonation with a tracheostomy
Ch 6 explains considerations in achieving phonation for a patient with a tracheostomy. The methods to restore voice are discussed for patients on mechanical ventilation (continuous or intermittent), as well as for those who are spontaneously breathing.
Chapter 7. Care of the patient with a tracheostomy
Ch 7 details all care issues involved with a tracheostomy, including care of the stoma, management of secretions, mobility, nutrition, and patient teaching. Additionally, care of the tube and inner cannula, as well as other appliances, such as the T-tube and tracheal cannula are also discussed.
Chapter 8. Tracheostomy in the pediatric patient
Ch 8 addresses a host of issues in the pediatric patient with a tracheostomy. Considerations include timing, indications, and duration of placement of tracheostomy tubes, features of pediatric tubes, common complications, and the multidisciplinary approach to phonation, and growth and development issues.
Chapter 9. Care of the patient with a laryngectomy
Ch 9 surveys considerations for the patient with a laryngectomy. Differentiation between partial laryngectomy, hemilaryngectomy, and total laryngectomy is explained, along with implications for care and therapy. Patients’ psychosocial issues are also included.
Chapter 10. Complications of tracheostomy
Ch 10 discusses complications of the tracheostomy and how to manage emergencies during the intraoperative, early postoperative, as well as late postoperative periods. Step-by-step recognition and management of problems are detailed for malposition, displacement, false passage, mucous plugs, hemorrhage, stenosis, tracheomalacia, and many others.
Chapter 11. Downsizing and decannulation
Ch 11 delineates downsizing—a gradual process of decreasing the size of the tracheostomy tube with the goal of complete decannulation. It describes a simplified process of downsizing, decannulation, along with tube choices and potential confounding events, such as increased airway pressures.
Chapter 12. Rehabilitation and recovery
Ch 12 maps out long-term care of the patient with a tracheostomy, traversing issues of recovery, rehabilitation, discharge planning, and home care. A systematic approach to follow-up in office or clinic visits is presented, and a special section is included to address psychosocial issues such as quality of life and caregiver burden.
