UMCU – afbouw beademing d.m.v. tracheostoma

Artsen overleg

De situatie van Dolf is iets verbeterd. De artsen zijn wel bang, dat Dolf te zwak is om slijm uit zijn longen te hoesten. De beademingsbuis kan er dus niet zomaar uit, dan kunnen de verpleegkundigen het slijm niet meer afzuigen en kunnen er benauwdheid en longontsteking optreden.

Afbouw beademing

Het plan is als volgt:

De buis wordt er uitgehaald. Er wordt een “tussenstap” gemaakt: er wordt een tracheostoma aangelegd.
Via een snee in de hals, tussen de adamsappel en het bovenste gedeelte van het borstbeen, wordt er een opening in de luchtpijp gemaakt. Daarna plaatst de arts het buisje, de tracheacanule, in de hals.
De beademingsmachine wordt dan vervolgens op de tracheacanule aangesloten.

De beademingsbuis (tube) kan dan verwijderd worden. De tracheostoma is een tijdelijke maatregel.


– de pijnlijke beademingsbuis kan er uit.
– de beademing kan makkelijker (en veiliger) afgebouwd worden.
– er blijft een toegangsweg bestaan om het slijm, dat de patiënt zelf niet kan ophoesten, weg te zuigen.
– in geval van ademnood kan de beademing heel snel weer aangesloten worden. De buis is eruit en hoeft   niet meer met spoed ingebracht te worden.

Benadrukt wordt, dat dit een stap in de goede richting is.

Morgen of overmorgen zal de ingreep plaatsvinden. Op dit moment is deze chirurgische ingreep mogelijk, omdat Dolf genoeg bloedplaatjes heeft. Het zal in totaal een uur of 3 duren, maar mag wel op de IC-kamer, waar Dolf nu ligt. 


– voorlopig kan Dolf nog niet praten, drinken en uiteraard niet eten.


Er is over enkele dagen wel een mogelijkheid een spreekklepje te krijgen.
De eerste dagen kan dat niet, want dan moet het ballonnetje (de cuff, die om het buisje heen zit) opgeblazen blijven.
Door dat spreekklepje adem je in via de trachea canule (buisje) en adem je uit langs de stembanden en dan kun je gewoon praten. Dat kan dan op de momenten, dat de beademingsapparatuur niet in werking hoeft te zijn.  

Tja, hoe vervelend de nadelen ook zijn, het moet gebeuren, geen keus. De voordelen wegen zwaarder.

410 gedachten over “UMCU – afbouw beademing d.m.v. tracheostoma

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  45. This is great! What is the machine you are using to mix with called?It is a food processor, you can find them in the kitchen section at most stores. I also use it to blend the corn for the humitas, as well as to make the dough for the empanadas de verde.

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