Tracheostomy: A Multi-Professional Handbook is written by a multidisciplinary team of authors to give a unique perspective of this increasingly widely-used technique and which will support research-based care and management and deliver patient-focused rehabilitation. It covers everything from the basics of tracheostomy, through the indications for tracheostomy and all aspects of pre-, peri- and postoperative care of the patient. The latter forms a large part of the book, and focuses on issues of importance to a broad spectrum of healthcare professionals, such as how patient communication is affected by the technique and how optimum wound care during tracheostomy is best achieved, as well as the practical aspects and problems encountered with speech, swallowing and general rehabilitation, nutrition, weaning and decannulation, long-term tracheostomy, tracheostomy in children, and an important chapter on emergency tracheostomy techniques. CONTENTS......Page 5 LIST OF ABBREVIATIONS......Page 7 LIST OF CONTRIBUTORS......Page 9 PREFACE......Page 11 ACKNOWLEDGEMENT......Page 12 1 : ANATOMY AND PHYSIOLOGY OF THE RESPIRATORY TRACT......Page 13 2 : WHAT IS A TRACHEOSTOMY?......Page 41 3 : SURGICAL TRACHEOSTOMY......Page 47 4 : PERCUTANEOUS DILATATIONAL TRACHEOSTOMY......Page 71 5 : DIFFICULT AIRWAY......Page 81 6 : TRACHEOSTOMY TUBES......Page 97 7 : TRACHEOSTOMY MANAGEMENT IN THE INTENSIVE CARE UNIT......Page 127 8 : HUMIDIFICATION......Page 155 9 : SUCTIONING......Page 169 10 : WOUND CARE......Page 185 11 : SWALLOWING......Page 199 12 : COMMUNICATION......Page 223 13 : TRACHEOSTOMY TUBE CHANGES......Page 247 14 : DECANNULATION......Page 267 15 : TRACHEOSTOMY AND HEAD & NECK CANCER......Page 281 16 : LONG-TERM TRACHEOSTOMY AND CONTINUING CARE......Page 297 17 : PAEDIATRIC TRACHEOSTOMY......Page 321 18 : NURSING CARE OF THE CHILD WITH A TRACHEOSTOMY......Page 329 19 : CHILDREN’S TRACHEOSTOMY CARE WITHIN THE COMMUNITY......Page 343 20 : EVIE’S STORY......Page 351 21 : INFECTION CONTROL ISSUES IN THE CARE OF PATIENTS WITH A TRACHEOSTOMY......Page 355 22 : NUTRITIONAL ASSESSMENT ANDMANAGEMENT OF PATIENTS WITH TRACHEOSTOMIES......Page 373 INDEX......Page 389 Respiration is the utilisation of oxygen by the body in the production of energy.