Traqueostomia:

Princpios e Tcnica

Definio
Procedimento cirrgico que realiza a abertura e a
exteriorizao da luz traqueal para fornecer uma nova
via para a ventilao
(PIRES & STARLING, 2010; VIEIRA et al,
2000)

(http://saibamaisfonohospitalar.blogspot.com.br/p/traqueosto
mia_30.html)

(http://www.hospital-int.net/article/intersurgical-extends-itseco-range-of-products.html)

Indicaes

Indicaes
Disfuno
larngea

Neoplasi
as

Apneia do
sono

Obstru
o
das
vias
areas

Traum
a

Paralisia dos mm.

respiratrios
(VIEIRA et al, 2000; PIRES & STARLING,
2010)

Indicaes
Limpeza
das vias
areas
Incapacidade de expelir
secreo
traqueobrnquica

Suporte
ventilatr
io
prolonga
Entub. Endotraqueal
vs
do
Traqueostom.

Melhores resultados do
tratamento

(PIRES & STARLING, 2010; VIEIRA et al, 2000; ZOLLINGER JR. &
ZOLLINGER, 2008)

Anatomia Cirrgica

Anatomia Cirrgica
Laringe/Traqueia
Cart. Tireoide
Cartilagem Cricoide
Cart. Traqueais (anis)
Ligg. Anulares
(MINNICH & MATHISEN,
2007;
ALLEN, 2003)

(NETTER, 2011)

Anatomia Cirrgica
Inervao
N. Larngeo
Recorrente
(MINNICH & MATHISEN,
2007;
ALLEN, 2003)

(MINNICH & MATHISEN,

Anatomia Cirrgica
Irrigao (poro
cervical)
Ramos
da a. tireoidea
inferior
Anastomoses
laterais
(MINNICH & MATHISEN,
2007;
ALLEN, 2003)

(MINNICH & MATHISEN,

Anatomia Cirrgica
MM. Prtraqueais
M. esterno-hioideo
M. esternotireoideo
M.
esternocleidomastoi
(ALLEN, 2003)
deo

(NETTER, 2011)

Anatomia Cirrgica
Estruturas por ordem de
apario
Pele
Tec. Subcutneo
Plano dos mm. prtraqueais
Istmo da glnd.
(ALLEN, 2003)
tireoide

Traqueia

(NETTER, 2011)

Tcnica Cirrgica

Tcnica Cirrgica
Posicionamento do
paciente
Decbito dorsal
Coxim sobre os
ombros
Pescoo extendido
Queixo na linha

(MARSICO & MARSICO, 2010;

TOWNSEND et al, 2005 )

mediana

(VIEIRA et al,
2000)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

https://www.youtube.com/watch?
v=WtG_rqbevIY

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

(https://www.youtube.com/watch?
v=thjhhByzlwo)

Ps-operatrio

Ps-operatrio
Troca/Lubrificao do
curativo
Fixao da
cnula
Aspirao de
secrees
Limpeza/substituio da
cnula interna
Troca da cnula
externa
Umidificao
do ar
Retirada definitiva da
cnula
(PIRES & STARLING, 2010; ZOLLINGER JR. &
ZOLLINGER, 2008)

Referncias
PIRES, M. T. B.; STARLING, S. V. Erazo: Manual de Urgncias em
Pronto-socorro. 9 ed. Rio de Janeiro: Guanabara Koogan, 2010.
VIEIRA, O. M. et al. Clnica Cirrgica: Fundamentos Tericos e
Prticos. So Paulo: Atheneu, 2000. v. 2
TOWNSEND, C. M. et al. Sabiston, tratado de cirurgia: a base
biolgica da prtica cirrgica moderna. 17 ed. Rio de Janeiro:
2005.
Elsevier,
ZOLLINGER
JR,v.R.2 M. ; ZOLLINGER, R. M. Zollinger: atlas de cirurgia.
Rio de Janeiro: Guanabara Koogan, 2008.
MINNICH, D. J.; MATHISEN, D. J. Anatomy of the Trachea, Carina, and
Bronchi. Thoracic Surgery Clinics, v. 17, p. 571585, 2007.
NETTER, F. H.Atlas de Anatomia Humana. 5 ed. Rio de Janeiro:
2011.
Elsevier,
MARSICO,
P. S.; MARSICO, G. A. Traqueostomia. Pulmo, v. 19, n. 12, p. 24-32, 2010.
ALLEN, M. S. Surgical anatomy of the trachea. Chest Surgery
Clinics of North America, v. 13, p. 191-199, 2003.

Obrigado!