The research papers on air emphysema is minimal, please explain the mechanism of development and management of air emphysema following open tracheostomy.
The first reason is to inflate strongly without properly dissecting the trachea at the level of the rings that were impacted for the placement of tracheostomy tube.
Enesto Lucio Sir, are there any evidences that surgical emphysema occurs due to different incisions on trachea. Like a vertical incision vs horizontal vs bjork flap vs criss-cross vs window creation. Are there any correlations b/w size of the tube and site of incision trachea
the main cause for air trapping and surgical emphysema is failure to open the pre tracheal facia widely.to avoid: before you make your tracheotomy incision in the tracheal rings , dissect elevate and incise the thin layer of pre tracheal facia tightly attached to the trachea
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