During those years, the United States evolved from a new nation fighting Great Britain for independence (1775â83), through the monumental American Civil War (1861â65) and, after collaborating in triumph during World War II (1941â45), to the world's sole remaining superpower from the late 20th century to present.
Tracheotomy (US /ËtreÉªkiËÉtÉmi/ tray-kee-AW-tÉ-mee) is a surgical procedure which consists of making an incision on the anterior aspect of the neck and opening a direct airway through an incision in the trachea (windpipe).
Tracheostomy Tube Replacement Establishing a patent airway in a patient with a tracheostomy may be accomplished by suctioning or by replacement of an old tracheostomy tube when suctioning is not successful. Tracheostomy tube replacement may only be performed when patient has a new replacement tracheostomy tube available. If tracheostomy tube is not available, or placement of a new tube is unsuccessful, use of an endotracheal tube (stomal intubation) or BVM ventilation is appropriate. Indications: â¢ Dislodged tracheostomy tube (decannulation) â¢ Tracheostomy tube obstruction not resolved by suction Contraindications: