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A nurse is caring for a patient who has undergone a tracheostomy. Identify an early complication of tracheostomy.

A nurse is caring for a patient who has undergone a tracheostomy. Identify an early complication of tracheostomy. Correct Answer Air embolism

Concept:

  • Tracheostomy is a surgical procedure to create an opening in the trachea.
  • Purposes:
    • Patient on the ventilator for a prolonged time
    • vocal cord paralysis or throat cancer
    • neurological problems
    • Severe trauma to neck and back

Explanation:

  • Tracheostomy is done between second and third tracheal rings.
  • There can be acute or chronic complications:
    • Immediate or acute: Bleeding, damage to the trachea and thyroid gland, vocal cord or nerve damage, subcutaneous emphysema, damage to the esophagus, pneumothorax, dyspnea, air embolism, lung collapse, and hematoma.
    • Long-term or chronic: Accidental decannulation, infection, tracheomalacia, tracheoesophageal fistula, development of granulation tissues, airway collapse, or narrowing of the airway.

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