Want to watch this video? Sign up for the course here. Or enter your email below to watch one free video.

Unlock This Video Now for FREE

This video is normally available to paying customers.
You may unlock this video for FREE. Enter your email address for instant access AND to receive ongoing updates and special discounts related to this topic.

Laryngectomies are another airway management tool. Laryngectomies tend to be inserted when people have had cancers of the voice box and had the airway itself altered. So now, the pipe that normally goes, or the trachea that normally goes up to the mouth and nose, is sealed off where the voice box used to be and the only port for air and oxygen to go into the patient is now through the laryngectomy because the actual pipe does not go any further up into the mouth and nose, it is stitched to the outside, and we now have a port of exit and entry for oxygen only in the neck. If we put oxygen on the mouth and nose, it will not go down into the patient's airway. The mouth and nose now are not connected to the lungs, they are sealed off and switched off and the laryngectomy replaces the nose and mouth. If we are in doubt as to whether it's a laryngectomy or a tracheostomy, we would just adopt the same procedures for both. An oxygen mask over mouth and nose, which if it's a laryngectomy, won't go anywhere at all, but if it's a tracheostomy, it will, and another one over the actual stoma on the laryngectomy to put oxygen into the chest.

Remember, bag and masks work just the same on the laryngectomy and a tracheostomy as they would on a mouth and nose. But a good point to remember is using a pediatric face shield on an adult bag and mask will give you a very nice seal around the laryngectomy or tracheostomy site to put air and oxygen into the patient's lungs. Remember, the patient's lungs are much closer to where you are, so we need to be nice and gentle, we also need to use suction in the same way as we would before, but we never suction and we never mess around with the airway too much when we've got laryngectomies and tracheostomies in place, because we are very close to the lung tissue itself. So laryngectomies are people who have got long-term, irreversible problems with their airway. The airway is then stitched to the outside of their neck with a laryngectomy inserted to act as the patient's airway rather than the mouth and nose. Laryngectomies.