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Laryngectomy and Tracheostomy awareness for Responders

Laryngectomy and Tracheostomy. AimsRaise awareness of the needs of Laryngectomy and Tracheostomy patientsDistinguish between the two conditionsThe importance of communication with the patient and carersUse of appropriate equipment in BLS. Laryngectomy and Tracheostomy. Communication MethodsWr

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Laryngectomy and Tracheostomy awareness for Responders

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    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 Laryngectomy removal of Larynx (voice box). Permanent usually following throat cancer. Tracheostomy temporary surgical airway usually following accident or illness. Patients can have great difficulty communicating be sensitive and pay attention maybe read lips. Carers may be able to help.Laryngectomy removal of Larynx (voice box). Permanent usually following throat cancer. Tracheostomy temporary surgical airway usually following accident or illness. Patients can have great difficulty communicating be sensitive and pay attention maybe read lips. Carers may be able to help.

    3. Laryngectomy and Tracheostomy Communication Methods Written words Silent Articulation Valve Voice Oesophageal Voice Electronic Larynx (Servox) Pen and Paper, Mouthing words, Valve fitted in the back wall of the trachea, Belching air from stomach to produce a voice, mechanical voice aid placed on throat.Pen and Paper, Mouthing words, Valve fitted in the back wall of the trachea, Belching air from stomach to produce a voice, mechanical voice aid placed on throat.

    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 Example oxygen put over mouth and nose not stoma.Example oxygen put over mouth and nose not stoma.

    5. Laryngectomy and Tracheostomy Click to run video. Explains the operation and the consequences of it. A and P of airway.Click to run video. Explains the operation and the consequences of it. A and P of airway.

    6. Laryngectomy and Tracheostomy Click to run video. Resus of laryngectomy patients.Click to run video. Resus of laryngectomy patients.

    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) Difference is checking and cleaning stoma during breathing check not mouth and nose, and raising shoulders.Difference is checking and cleaning stoma during breathing check not mouth and nose, and raising shoulders.

    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 Remember ventilate over stoma and close off mouth and nose ? Demo hand grip closing both off.Remember ventilate over stoma and close off mouth and nose ? Demo hand grip closing both off.

    9. Laryngectomy and Tracheostomy Examples of Laryngectomy

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