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Zeshan
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surgery: indications for TRACHEOSTOMY
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04.14.08 (4 months ago)
#1
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The indications for a TRACHEOSTOMY include:(true or fasle)
a) Sputum retention
b) Inadequate tidal volume
c) Flail chest
d) Tetanus
e) Acute head injury
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Zeshan
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Re: The indications for a TRACHEOSTOMY include:(true or fasl
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04.15.08 (4 months ago)
#2
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| Zeshan wrote: |
The indications for a TRACHEOSTOMY include:(true or fasle)
a) Sputum retention
b) Inadequate tidal volume
c) Flail chest
d) Tetanus
e) Acute head injury |
I think A BC and D are true ... E is false .
I am not sure 
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aceofbase
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04.23.08 (4 months ago)
#3
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It is D & E are true. In flail chest there is deformity of the chestwall. sputum retention is not given as an option in any text. inadequate tidal volume is also false
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Zeshan
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04.23.08 (4 months ago)
#4
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| aceofbase wrote: |
| It is D & E are true. In flail chest there is deformity of the chestwall. sputum retention is not given as an option in any text. inadequate tidal volume is also false |
thanks ....
Is there any other opinion ... m still in little bit doubt abt option e.
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aceofbase
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04.24.08 (4 months ago)
#5
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E is not a correct option. there is head injury due to which there is central depression of respiration. so such patients need to be put on a ventilator
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Zeshan
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04.24.08 (4 months ago)
#6
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| aceofbase wrote: |
| E is not a correct option. there is head injury due to which there is central depression of respiration. so such patients need to be put on a ventilator |
So it means only D is correct ... me too think so....
Shardul and Dr.Smitha how do u think... I need ur opinion too....
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drsmita_s
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04.24.08 (4 months ago)
#7
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indications of tracheostomy :
conditions causing RESPIRATORY OBSTRUCTION
1 infections like ALTB, acute epiglottitis, diphtheria , ludwig's angina, peritonsillar / retropharyngeal / parapharyngeal abscess.
2 trauma-- injury to larynx or trachea / fracture mandible/ maxillogacial injuries
3 neoplasms of LARYNX / PHARYNX / upper trachea/ tongue / thyroid etc.
4 foreign body larynx
5 oedema of larynx such as due to irritant fumes etc
6 b/l abductor paralysis
7 congenital anomalies like laryngeal webs etc
conditions causing RETAINED SECRETIONS
1 inability to cough as in coma of any cause ( head injuries, cva etc)
2 paralysis of respiratiory muscles as in GB syndrome, myasthenia gravis, spinal injuries
3 spasm of respiratory muscles as in tetanus, strychnine poisoning
4 aspiration of pharyngeal secretions as in bulbar polio, polyneuritis etc
conditions causing respiratory insufficiency such as chronic lung conditions as in emphysema, chr bronchitis, etc.
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drsmita_s
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04.24.08 (4 months ago)
#8
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so, option d) tetanus is definitely an indication
option c ) flail chest can be true , since IPPV has to given and if IPPv is required beyond 72 hrs, tracheostomy is superior to intubation.
acute head injury is not an indication , intubation is done in this case.
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Zeshan
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04.24.08 (4 months ago)
#9
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| drsmita_s wrote: |
so, option d) tetanus is definitely an indication
option c ) flail chest can be true , since IPPV has to given and if IPPv is required beyond 72 hrs, tracheostomy is superior to intubation.
acute head injury is not an indication , intubation is done in this case. |
So nice of u ..... Thanks. 
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