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Tracheostomy - series—Indications

Indications

Overview

The indications for tracheostomy include:

  • Prolonged intubation during the course of a critical illness
  • Subglottic stenosis from prior trauma
  • Obstruction from obesity for sleep apnea
  • Congenital (inherited) abnormality of the larynx or trachea
  • Severe neck or mouth injuries
  • Inhalation of corrosive material smoke or steam
  • Presence of a large foreign body that occludes the airway
  • Paralysis of the muscles that affect swallowing causing a danger of aspiration
  • Long term unconsciousness or coma

Review Date 1/12/2019

Updated by: Jesse Borke, MD, FACEP, FAAEM, Attending Physician at FDR Medical Services/Millard Fillmore Suburban Hospital, Buffalo, NY. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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