Tracheostomy

Tracheostomy

Secure Airway Through Strategic Tracheostomy

A tracheostomy is a surgical procedure that creates a direct airway by making an opening (stoma) in the front of the neck into the trachea (windpipe). It is indicated for prolonged ventilatory support, upper‐airway obstruction (e.g., tumors, severe infections, trauma), or when secretions cannot be managed safely. Dr. Hitesh R. Singhavi performs both open surgical and percutaneous dilatational tracheostomies, tailoring the approach to patient anatomy and clinical urgency. By bypassing obstructions above the vocal cords, tracheostomy provides a reliable channel for breathing, suctioning of secretions, and gradual weaning from mechanical ventilation.

Personalized Treatment Plan:

Preoperatively, Dr. Singhavi reviews imaging (CT neck) to assess vascular anatomy and optimal stoma site, and coordinates with respiratory therapists and intensivists for ventilator settings. Under general anesthesia with neck extension, a horizontal or vertical incision is made over the chosen tracheal rings. For surgical tracheostomy, he dissects carefully down to the trachea, retracts thyroid tissue, and fashions a tracheal window (usually between the second and third rings). In percutaneous cases, he uses Seldinger‐technique dilators under bronchoscopic guidance to minimize skin incision and tissue trauma. He selects an appropriately sized cuffed tracheostomy tube, secures it with stay sutures and ties, and confirms placement by capnography and chest auscultation. Postoperatively, he works with speech‐language pathologists on early swallowing trials and with nursing staff on routine stoma care and humidification protocols. Decannulation plans are individualized based on cough strength, airway patency assessments, and overall respiratory function.

Benefits :

Dr. Singhavi’s precise technique ensures a stable, low‐pressure airway with minimal complications. Tracheostomy reduces airway resistance, facilitating weaning from ventilators and improving patient comfort. It allows effective suctioning of secretions, lowering the risk of aspiration pneumonia. Early mobilization and speech rehabilitation become possible, enabling patients to communicate and begin oral intake sooner. The percutaneous approach—when appropriate—shortens procedure time, decreases bleeding, and minimizes scarring. Overall, tracheostomy under Dr. Singhavi’s care accelerates recovery, reduces ICU stay duration, and significantly enhances both functional and psychosocial outcomes for critically ill or air‐compromised patients.