Tracheotomy is suitable for people with weak cardiopulmonary function.
Tracheotomy is a common surgical procedure to incise the cervical trachea and place a metal tracheal tube in order to relieve dyspnea of laryngeal origin, or dyspnea due to retention of lower respiratory secretions, and there are appropriate indications and timing for its use.
For those whose causes of respiratory obstruction cannot be eliminated quickly, such as laryngeal stenosis, tumors inside or outside the trachea, etc., tracheotomy should be performed early.
Coma, respiratory muscle paralysis, tetanus, laryngeal diphtheria, and those with secretion accumulation in the lower respiratory tract should also undergo early tracheotomy.
Early tracheotomy should also be performed if the patient is in poor health and has weak cardiopulmonary function and cannot tolerate longer periods of respiratory distress.
Tracheotomy improves comfort, reduces ventilator-associated pneumonia, reduces laryngeal injury or dysfunction, improves oral and pharyngeal hygiene, and allows for vocalization when the sleeve is deflated.
The disadvantages, however, are risk of tracheal or stoma stenosis, stoma infection, bleeding due to damage to peripheral blood vessels, stoma scarring or granulation tissue formation, and surgical complications (bleeding, airway obstruction).
If a tracheotomy is required for a person with weak cardiopulmonary function, it is recommended to communicate with the doctor in time for the procedure.