Best Doctors in India for Tracheostomy
Best Hospitals in India for Tracheostomy
- City: Bengaluru, India
Hospital Highlights:
- Fortis Hospital Bannerghatta, Bengaluru was established in 2006.
- The hospital is a 276 bedded multi-specialty tertiary care facility.
- The hospital specializes in cutting-edge medical technology and dedicated patient care services.
- The hospital is equipped with state-of-the-art technologies like trans-radial angioplasty, trans-abdominal cardiac surgery, and computerized TKR navigation surgery.
- The hospital provides specialty medical services in cardiology, cardiac surgery, orthopedics, neurology, neuro-surgery, GI, and Minimal Access Surgery (MAS).
- City: Chennai, India
Hospital Highlights:
- Fortis Malar was established in 1992 and was formerly known as Malar Hospital.
- The hospital specializes in cutting-edge medical technology and dedicated patient care services.
- The hospital is multi-specialty, tertiary care facility with 180 beds.
- The hospital offers comprehensive medical care in specialties such as cardiology, cardio-thoracic surgery, neurology, neurosurgery, orthopedics, nephrology, gynecology, gastroenterology, urology, pediatrics, and diabetes.
- City: New Delhi, India
Hospital Highlights:
- Established in 1996, Pushpawati Singhania Research Institute is one of the top hospitals in the NCR region, as well as one of the top facilities in India for gastroenterology. The hospital is one of South Asia’s first institutes in medical and surgical treatment for diseases related to digestion.
- The hospital is equipped with state-of-the art facilities coupled with the latest equipment as well as renowned consultants from various parts of India as well as other parts of the world.
- City: New Delhi, India
Hospital Highlights:
- State-of-the-art technology and devoted healthcare professionals have been brought together under one roof at Venkateshwar Hospital to provide genuine medical care. The hospital’s professionals work together as a team to deliver the best possible treatment to their patients, using the most sophisticated equipment and information technology.
- Venkateshwar Hospital’s mission is to attain global excellence in healthcare by employing evidence-based, ethical clinical practices and cutting-edge technology by a team of highly skilled experts.
- City: New Delhi, India
Hospital Highlights:
- Sir Ganga Ram Hospital, New Delhi is known to provide the latest medical procedures with the latest technology in all of its units.
- The hospital has a team of reputed doctors, nurses, and healthcare professionals that ensure that patients receive quality care at affordable costs.
- Staffed with a team of highly qualified doctors, dedicated nurses, and paramedical and non-medical staff, the hospital aims to lead in healthcare delivery, medical education, training, and research.
- As per the vision of the founder, the hospital also provides free treatment to the economically weaker sections of society.
- Sir Ganga Ram Hospital also provides training to young doctors under the Diplomate in National Board(DNB) program. The DNB program at the hospital was started in 1984 and it is known for currently running the maximum number of DNB specialties in the country. It also has the distinction of having the first bone bank in India.
- City: Kerala, India
Hospital Highlights:
- Established in 2019, Apollo Adlux Hospital is the first Apollo Hospital in Kerala and the 73rd hospital owned by Apollo Group in India. With the state’s most advanced, comprehensive healthcare infrastructure and cutting-edge technologies, Apollo Adlux Hospital stands as an example of medical excellence in Kerala.
- With over 34 multi-specialty departments, the hospital believes in providing the best quality treatment to its patients at affordable rates, ensuring comfort at their difficult times.
- The 300-bed hospital is managed by a team of highly qualified and experienced experts who delivers exceptional hospitality to their patients and treats them with great compassion.
- With its affiliation with the Apollo Hospitals Group, the hospital aims in providing patients with top-notch healthcare services while also serving communities in Kerala.
- The hospital has good railway and road connections, and is conveniently close to Cochin International Airport.
- City: Gurugram, India
Hospital Highlights:
- Situated near DLF Cyber City, Gurugram, Narayana Superspecialty Hospital is one of the top medical facilities in the Delhi NCR region, catering to the needs of the people. Known for its commitment to quality medical care and patient service, the hospital is a state-of-the-art facility with planned and well-equipped sections, which includes a spacious OPD area as well as comfortable patient rooms.
- It is the closest super-specialty hospital from Indira Gandhi International Airport towards Gurugram, and also the nearest super specialty hospital from DLF Cyber City. It is also close to major residential areas in Gurugram.
- It is part of the renowned Narayana Health Group. Established in 2000, by Dr. Devi Shetty, a renowned cardiac surgeon, it has grown to be one fo India’s leading healthcare groups.
- City: Noida, India
Hospital Highlights:
- Fortis Hospital, Noida, stands as one of the oldest and most trusted healthcare institutions in the region, setting a benchmark for comprehensive medical care.
- As the second mega hub hospital in the Fortis Healthcare Group, Fortis Hospital, Noida, upholds a legacy of trust among more than 1.2 million patients. By integrating top-tier professionals with cutting-edge technology, the hospital delivers superior treatment across various medical disciplines.
- Specializing in advanced Neurosciences, Orthopedics, Kidney and Liver Transplant Programmes, Fortis Hospital, Noida has successfully performed over 1,500 transplants, solidifying its reputation as a leader in specialized medical interventions.
Tracheostomy
Tracheostomy is a medical procedure in which the doctor will create a hole in the front of the neck and into the trachea (or windpipe). This is done to place a tracheostomy tube into that opening that stays open for breathing. The tracheostomy tube allows the entry of air into the lungs. The air bypasses the nose, mouth and throat to allow breathing through the tube. The hole in the neck is commonly called a stoma.
Reasons for Tracheostomy
There are various reasons, including airways restriction, because of which people undergo a tracheostomy. Your doctor may perform a tracheostomy, when you have a blocked airway, during an emergency. The procedure is of utmost use when normal breathing becomes difficult because of other diseases or problems. You may have to go for tracheostomy if you have:
- An infection
- The need for a ventilator or respiratory support
- Defects in the airway
- Chronic lung disease
- Underwent facial surgery
- Injury on the chest wall
- Anaphylaxis
- Neck cancer
- Dysfunctioning diaphragm
- Laryngeal injury
- Airway burns due to inhalation of harmful material
- Airway obstruction due to the presence of foreign bodies
- Severe mouth injuries
- Coma
- Facial burns
- Obstructive sleep apnea
- Vocal cord paralysis
- Laryngectomy
- Tumors
- Neck injuries
EMERGENCY CARE
Although most of the surgeons perform this procedure in a hospital setting, they may find it necessary to create the opening in the person’s throat while at the site of the accident, if it is an emergency. Emergency tracheostomies not just carry the risk of complications, they are also difficult to perform.
Preparation for Tracheostomy
What to expect?
During the procedure
Mostly, the doctors perform the procedure in an operating room so that you remain unaware of the entire procedure. He or she will inject local anesthesia (sleep medicine) into your body to numb the throat and the neck. He or she will use local anesthesia if there are visible risks with general anesthesia or if they are performing the procedure outside the operating room. You may opt for:
Surgical Tracheostomy
Surgical Tracheostomy is performed in a hospital room, your surgeon will make a horizontal incision (cut) through your skin in the lower part of the front of the neck. He or she will carefully pull back the surrounding muscles to cut a part of the thyroid gland and expose the trachea or the windpipe. Near the base of your neck, your surgeon will create an opening at a specific spot on your trachea.
Percutaneous Tracheostomy
In the front of the neck, your doctor will make a small incision at the base. He or she will introduce a special lens through the mouth so that they can view the inside portion of your throat. He or she will then guide a needle into the trachea using the view of the throat, to create an opening and will then increase it up to the size of the tube.
After the procedure
You may need to stay back in the hospital as you heal.
- Care for the tube: The nurse will teach you to change or clean your tracheostomy tube so as to prevent any infection and decrease the chances of any risks.
- Speaking: Depending on the type of tube, you will be able to speak with the tracheostomy tube. Your speech therapist or nurse may recommend you some alternatives for communicating and how you can use your voice again to speak.
- Eating: You will receive all the nutrients through an IV (or Intravenous line) inserted in your body or a feeding tube that passes through your nose or mouth. You may also have a tube directly inserted into your stomach. Your speech therapist will work with you when you will be able to eat, to help you with coordination and regain muscle strength needed for swallowing purposes.
- Managing other effects: There are some other effects related to tracheostomy. Your healthcare time will guide you and teach you to care for other common effects. They may teach you to use a suction machine for clearing away the secretions from the airway or your throat.
Results
While tracheostomy is temporary in most of the cases, it may be permanent in some. The procedure provides an alternative breathing route until the medical ailments resolve within your body. If there’s a need for you to be on a ventilator for an indefinite time, this procedure can be the best possible solution.
Your healthcare team will take care of you and determine when you can remove the tracheostomy tube without any chances of complications. The opening will close down after some time and heal on its own. However, your surgeon may also opt to closet the opening surgically.
Risks of Tracheostomy
Any kind of surgery or medical procedure comes with its own risks like bleeding and infection. Although it is rare, you may catch an allergic reaction to the anesthesia (sleep medicine) used for the medical procedure. The risks associated with Tracheostomy are:
- Bleeding
- The thyroid gland, present in the neck, getting damaged
- Lung collapse
- Scar tissue present in the trachea
- Erosion of the trachea (rarely)
- Misplacement of the tracheostomy tube
- Subcutaneous emphysema (trapping of air under the skin on the tissue)
- Pneumothorax (air buildup between the lungs and the chest wall)
- Hematoma or collection of blood that may cause breathing problems.
Long term complications
The longer the tracheostomy, the higher will be the chances of the complications. They may include:
- Damage to the trachea
- Infection around the tracheostomy
- Narrowing of the trachea
- Infection in the bronchial tubules and trachea (Tracheobronchitis)
- Scarring of the trachea
- Infection in the lungs (Pneumonia)
- Obstruction of the tracheostomy tube
- Tracheoinnominate fistula