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What are the potential complications associated with tracheostomy as mentioned in the chapter?

Potential complications associated with tracheostomy include tube obstruction, tube dislodgment, pneumothorax, subcutaneous emphysema, bleeding, and infection.

Complications can arise immediately after the tracheostomy procedure or later during care. Tube obstruction may occur due to secretions or cuff displacement, leading to difficulty breathing. Tube dislodgment is particularly critical within the first 72 hours post-surgery, as the tracheostomy tract is not yet mature. Pneumothorax can develop if the chest cavity is entered during the procedure, while subcutaneous emphysema occurs when air escapes into the tissue planes. Additionally, bleeding and infection are potential risks that require careful monitoring and management.

Key points

  • Tube obstruction can cause difficulty breathing and requires regular assessment for patency.
  • Tube dislodgment is an emergency, especially within the first 72 hours after surgery.
  • Pneumothorax may occur if the chest cavity is inadvertently entered during the procedure.
  • Subcutaneous emphysema indicates air escaping into tissue, requiring immediate attention.
  • Bleeding can occur at the incision site and may need surgical intervention if excessive.
  • Infection risk necessitates strict sterile technique during care.
Source:Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care· Critical Care of Patients With Acute Coronary Syndromes· p. 1484–1502

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Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care

Ignatavicius, Donna D. & Workman, M. Linda & Rebar, Cherie R. & Heimgartner, Nicole M.

TENTH EDITION

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