Tracheostomy

Conducting pathways

100

Air is first inspired through this structure.

Nasal Cavity

200

There are 3 parts to this structure within the Upper Respiratory Tract

Pharynx  Nasopharynx, Oropharynx, Laryngopharynx

 

300

The Larynx is the last part of the conducting pathway within the upper respiratory tract, this structure comes next...

Trachea

400

In the lower respiratory tract the Trachea splits and bifurcates into the left and Right main 

Bronchi 

500

Bronchi branch about 23 times to be the right upper middle and lower lobes on the left side we have 2 lobes, this makes way for our

Heart 

Anatomy and Physiology 1

100

Found in the nasal cavity are structures or folds that are lined by a lot of blood vessels and mucous, when the air we breath hits these structures in our nasal cavity, the air spins and throws all the particulates in the air or pathogens into this mucous. These structures or folds are called 

Turbinates 

200

These structures or folds in the nasal cavity warm and humidify the air we breath, making gas exchange at the alveoli more beneficial 

Turbinates 

300

This structure is also known as our voice box 

larynx 

400

This structure is like a small moveable lid, it helps us to swallow, and prevents food and drink from entering the lungs 

Epiglotis 

500

If the patient was to aspirate, the clinical structure most likely to facilitate this is the 

The right main bronchi 

Wider and more upright

Anatomy and Physiology 2

100

A Tracheostomy bypasses this part of our respiratory system 

Upper Respiratory Tract 

200

This part of our anatomy keeps our tracheal airways strong and open, like a straw to facilitate air movement for gas exchange 

Cartilage 

300

Carrys food and liquid from the mouth to the stomach via the pharynx (throat) 

Esophagus

 

400

There is more of this in our lower airways, and it plays an important role, relaxing and constricting, helping the airways open and close for gas exchange 

Muscle 

500

The adams apple is present in both males and females, what we see externally is clinically referred to as 

Laryngeal Prominence 

Tracheostomy Management 1

100

These two senses are impaired by a tracheostomy 

Smell and Taste 

200

A Tracheostomy is typically placed approximately 2.5cm below this anatomical structure

Larynx

300

Must be checked and CHANGED at the start of each shift 

Inner Cannula 

400

Important to be adequate prior to suctioning

Oxygenation

500

Inserting a suction catheter through a tracheostomy tube until resistance is met at this structure to remove secretions from the airway due to ineffective clearance

Carina

Tracheostomy Management 2

100

An HME and/or the F&P Airvo provide this vital normal part of the conducting pathway 

Humidification 

200

Used to check the cuff pressure on the Tracheostomy 

Cuff Manometer 

Ideal range is 20-30cmH20

300

This is only performed when clinically indicated for a tracheostomy patient

Suctioning 

400

Structural piece of the Tracheostomy that is checked at the start of the shift, decreasing the risk of aspiration of secretions

Cuff 

500

Maintaining the cuff pressure between 22-28mmHg is important to prevent these (name two)

- Reduced blood flow

- Tracheoesophageal fistula

- Tracheal Stenosis

- Tissue Damage/Necrosis

- Difficulty swallowing