Laryngectomy and Tracheostomy awareness for Responders

1
Laryngectomy and Tracheostomy awareness for
Responders

• NRH 2007

2
Laryngectomy and Tracheostomy

• Aims
• Raise awareness of the needs of Laryngectomy and
  Tracheostomy patients
• Distinguish between the two conditions
• The importance of communication with the patient
  and carers
• Use of appropriate equipment in BLS

3
Laryngectomy and Tracheostomy

• Communication Methods
• Written words
• Silent Articulation
• Valve Voice
• Oesophageal Voice
• Electronic Larynx (Servox)

4
Laryngectomy and Tracheostomy

• Considerations
• Emergencies such as fluid in the lungs present
  concerns
• Failure to recognise the condition can lead to
  inappropriate treatment being given

5
Laryngectomy and Tracheostomy
6
Laryngectomy and Tracheostomy
7
Laryngectomy and Tracheostomy

• Resuscitation
• Danger
• Response
• Shout for help!
• Airway (Check neck for stoma and clear mucous if
  necessary, raise shoulders)
• Breathing (Look, Listen and Feel over stoma)

8
Laryngectomy and Tracheostomy

• Treatment
• If not breathing CPR as usual.
• Ventilate through stoma (Mouth to Stoma or BVM
  child mask or BVM Adult mask turned through 90
  degrees)
• If breathing normally treat as unconscious patient

9
Laryngectomy and Tracheostomy

• Examples of Laryngectomy

10
Laryngectomy and Tracheostomy

• Example of Laryngectomy

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Laryngectomy and Tracheostomy

• Example of Tracheostomy

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Laryngectomy and Tracheostomy

• Example of Tracheostomy

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Laryngectomy and Tracheostomy

• Summary
• Laryngectomy Permanent removal of larynx
• Tracheostomy Temporary surgical airway
• Communication Difficult, extra attention needed

14
Laryngectomy and Tracheostomy

• Summary
• Ventilate through stoma closing off mouth and
  nose
• Use Child BVM or Adult BVM turned through 90
  degrees
• Administer oxygen through stoma not mouth and
  nose

15
Laryngectomy and Tracheostomy

• Any Questions?
• Anything not understood?
• Anything not clear?
• Thank you for your attention