Pros and cons of tracheotomy for cerebral hemorrhage

Patients with brain hemorrhage often have airway obstruction and require assisted breathing through tracheal intubation. If it takes too long, the trachea is cut and a tracheotomy is performed. The main points of benefit are as follows: First, the tracheal intubation should not be in the throat for more than 7 days; if it is longer than 7 days, it will cause edema and swelling in the throat and make extubation difficult. The second point is that it causes softening of the airway and thus affects the normal life in the future. Therefore, tracheotomy must be performed for brain hemorrhage intubation for more than 7 days. Disadvantage: It is a variation of the normal anatomical structure, because normally breathing through the mouth and nose, the related mucous membrane can wet the inhaled air to some extent and will not be too dry, however, cutting the air at the trachea and flowing directly into the trachea will be relatively dry, which will also stimulate the patient to cough and other symptoms, but it can be solved by some humidification treatment. Basically, the tracheotomy can be closed after 3 days of extraction, and if it does not close after more than 1 week, it can be closed by suturing, and only a relatively small 3cm scar will be left in the later recovery process.