by Editorial Staff and Contributors
Tracheotomy is the surgical creation of an opening from the outside of the neck into the windpipe. A tube is inserted into the opening to allow for normal breathing.
Reasons for Procedure TOP
A tracheotomy is done to bypass obstructions that are interfering with breathing. The opening is called a stoma or tracheostomy. A stoma may be either temporary or permanent.
A tracheotomy is done to restore normal breathing in the following situations:
Possible Complications TOP
If you are planning to have a tracheotomy, your doctor will review a list of possible complications, which may include:
Some factors that may increase the risk of complications include:
What to Expect TOP
Prior to Procedure
Your doctor will likely do the following:
Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure, like:
General anesthesia will be used. You will be asleep. In emergency situations, local anesthesia may be used. It will numb the area.
Description of Procedure TOP
A cut will be made in the skin of the neck. A section at the front of the windpipe will be removed. A tracheostomy tube, which will act as the airway, will then be fitted into this opening in the windpipe. The skin will be closed around the tube with stitches or clips.
Immediately After Procedure TOP
You will breathe through this tube as long as it is in place. Oxygen and machines to assist breathing will be provided, if needed. A chest x-ray may be needed.
How Long Will It Take? TOP
About 15-30 minutes
How Much Will It Hurt? TOP
Anesthesia prevents pain during the procedure. You may have some pain and soreness during recovery. Your doctor can prescribe pain medication to help relieve this discomfort.
Average Hospital Stay TOP
The length of stay will depend on the reason for the procedure. Most stays are 1-5 days.
Post-procedure Care TOP
Once a tracheostomy tube is in place, you will experience breathing and vocal changes. It usually takes three days to adjust to breathing through the tube. Speaking is often a larger adjustment. Initially, you may not be able to speak. You will need to cover the tracheostomy hole with your fingers in order to speak so the air going in and out of the tube will not bypasses the vocal cords.
Call Your Doctor TOP
After you leave the hospital, contact your doctor if any of the following occurs:
In case of an emergency, call for medical help right away.
You should call for help right away if:
American Lung Association
National Heart Lung and Blood Institute
Canadian Medical Association
The Lung Association
Caring for your tracheotomy. University of Miami Health System website. Available at: http://calder.med.miami.edu/pointis/traccare.html . Accessed September 17, 2013.
Frequently asked questions about tracheotomy and swallowing. American Speech-Language-Hearing Association website. Available at: http://www.asha.or... . Accessed September 17, 2013.
Tracheostomy (putting a breathing tube through a small hole in the throat). American Thoracic Society website. Available at: http://www.thoraci... . Accessed September 17, 2013.
What is a tracheostomy? Johns Hopkins Medicine website. Available at: http://www.hopkinsmedicine.org/tracheostomy/about/what.html . Accessed September 17, 2013.
Last reviewed September 2013 by Michael Woods, MD
Last Updated: 9/30/2013