Image Based Question – 66683

Indications for insertion of this Tube(as shown in the image)are all except:

A. Cardiac Tamponade

B. Flail chest

C. Foreign Body

D. Head injury

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Correct Answer » A Explanation

Ans:A. Cardiac Tamponade.

• The image shown is of a Tracheostomy Tube.

• Cardiac tamponade is not an indication for tracheostomy.

INDICATIONS OF TRACHEOSTOMY

• To relieve upper airway obstruction

• Foreign body Larynx

• Trauma

• Acute infection – acute epiglottitis, diphtheria,Tetanus

• Glottic oedema,Tracheal Stenosis.

• Bilateral abductor paralysis of the vocal cords

• Tumours of the larynx

• Congenital web or atresia

• New born with a goiter large enough to cause dyspnoea

To improve respiratory function

• Fulminating bronchopneumonia

• Chronic bronchitis and emphysema

• Chest injury and flail chest

• Atelactasis

• Respiratory paralysis

• Unconscious head injury

• Bulbar poliomyelitis