Indications Of Transtracheal Oxygenation?
Good afternoon … I want to know the indications for the administration of transtracheal oxygenation … From the morning I was looking for indications that I only got an indication of inhalation for ETT only … Please advise.
Hello, thank you for the question to HealthReplies.com
First of all, I want to make sure that what you mean by transtracheal oxygenation is the administration of oxygen through a transtracheal catheter and not the tracheostomy tube.
Tracheostomy tube is attached to conditions such as:
people who need intubation and long-term ventilator therapy
weaning facilitation or release from therapy with a ventilator
more effective airway cleansing (for example in people whose respiratory tract continues to produce mucus or in people who experience aspiration)
upper airway obstruction for various reasons
intubation cannot be done with ETT / endotracheal tube
ensure airway patency for sufferers of certain diseases
Meanwhile transtracheal oxygenation using a transtracheal catheter is generally aimed at people who need chronic oxygen therapy (for example people with severe COPD who need continuous oxygen therapy). Provision of transtracheal oxygenation is an alternative to conventional oxygenation through nasal cannula. Transtracheal oxygenation provides several advantages over nasal cannula use, including:
decrease the amount of oxygen used to achieve the same oxygen saturation
increase physical activity capacity in patients
reduce erythrocytosis (formation of excess red blood cells that is common in people who experience chronic hypoxia) and improve cor pulmonale (a disorder in the heart that occurs due to interference with the lungs)
improve hypoxemia that cannot be corrected with nasal cannula alone
improve patient mobility
improve patient compliance with oxygen use
Some indications of transtracheal oxygenation therapy are:
patient preference (patients prefer to have a transtracheal catheter over a nasal cannula)
the desire to achieve the benefits mentioned above (eg wanting better mobility for patients)
complications from the use of nasal cannula for chronic oxygen therapy (eg frequent nosebleeds)
oxygen therapy with nasal cannula is no longer effective in treating hypoxia (patients continue to experience erythrocytosis, cor pulmonale, hypoxemia at night, etc.)
So much information from me, hopefully enough answer