By August 13, 2012. You can often replace cream of tartar with distilled white vinegar or lemon juice. When cream of tartar is used to add volume and stabilize and whiten whipped egg whites, as with an angel food cake, replace every 1/8 teaspoon of cream of tartar (the amount needed per egg) with 1/2 teaspoon lemon juice or distilled white vinegar.
Tracheostomy (sometimes called tracheotomy) is the creation of an opening directly into the trachea (windpipe) in the neck for the purpose of assisting breathing. While tracheotomy used to be done as an emergency, it is now done more on an elective basis to protect the airway, better clean the airway and to provide more oxygen to the lungs.
A permanent tracheostomy is created where the trachea is brought out to the. surface of the skin and sutured to the neck wall. This stoma is kept open by. the rigidity of the tracheal cartilage. The patient will breathe through this. stoma for the remainder of his/her life. As a result, there is no connection. between the nasal passages and the trachea. This procedure is elective and the patients need to be carefully prepared for.