We can do a trach and needle biopsy at the same time.

我们可以同时做管切开和穿刺活检。

(3) If patient has respiratory insufficiency, e. g. chronic lung diseases, then tracheostomy might help oxygen ventilation by reducing respiratory dead space.

(3)如患者有呼吸功能不全，如慢性肺部疾病，则管切开可减少呼吸死腔，帮助氧通。

Tracheostomy if airway is in danger.

如果有危险，就做管切开。

Type of Tracheostomy There are various types of tracheostomy procedures, depending on the circumstances of the patient and the treatment intent.

管切开的类型根据病人的情况和治疗目的，管切开的方法有很多种。

The tracheostomy forces the air to bypass the nasal and oral passages, hence the air entering the tracheostomy is not adequately humidified.

管切开绕过鼻腔和口腔通，因此进入管切开的有充分湿化。

In such cases, tracheostomy allows suctioning of the secretions and the cuff of the tracheostomy reduces further aspiration of secretions.

在这种情况下，管切开可以吸入分泌物，而管切开的导管可以减少进一步的分泌物吸入。

(5) As part of another procedure Sometimes tracheostomy is done to gain access to airway for general anesthesia, or as a precautionary measure in some patients who undergo an extensive neck surgery.

(5) 作为另一个手的一部分有时管切开是为了在全身麻醉时获得，或者是在一些接受广泛颈部手的患者中作为一种预防措施。

Procedure The procedure is preferably done under general anesthesia, but emergency cases may necessitate local anesthesia only.

管切开过程手最好在全身麻醉下进行，但紧急情况可能只需要局部麻醉。

Tracheostomy can also be classified as high, mid or low; depending on the level at which it is inserted into the trachea.

管切开也可分为高位、中位或低位，具体取决于插入管的水平。

Tracheostomy is done if intubation is required beyond 72 hours.

如果需要插管超过 72 小时，则应进行管切开。

Since the tracheostomy forces the air to bypass the vocal cords, patients would not be able to speak effectively.

由于管切开绕过声带，患者将无法有效说话。

Similarly, there are various types of tracheostomy tubes each with specific functions.

同样，管切开所用的导管也有不同的种类，每种都有特定的功能。

In case the tracheostomy tube is damaged, infected, occluded or non-functioning in any way, then a new tube should be inserted in place of the old one, under expert supervision.

如果管切开插管损坏、感染、阻塞或以任何方式不起作用，则应在专家的监督下插入新管代替旧管。

" Unleashed" does have good moments: readers learn that the queen served him a picnic from Tupperware boxes and that covid left him afraid to go to sleep " in case they decided to perform some stealthy tracheotomy without letting me know" .

《Unleashed》一书确实有一些精彩时刻：读者会了解到女王曾用特百惠盒子为他准备了野餐，而新冠疫情期间他害怕睡觉，“万一他们决定偷偷做管切开而不告诉我”。

Intubation or tracheostomy is done, should respiratory obstruction increase in spite of the above measures.

尽管采取了上述措施，但仍有呼吸阻塞加重，应行管插管或管切开。

So when he comes in, I make sure that his tracheotomy is clean, his stoma is clean, and that's at every feeding, before and after.

因此，当他进来时，我确保他的管切开是干净的，他的造口是干净的，每次喂奶之前和之后都是如此。

He fell out of the spotlight after being diagnosed with throat cancer in 2014 and a tracheotomy permanently damaged his voice, which affected his career.

2014年确诊喉癌后， 他淡出了公众视野， 管切开永久性地损伤了他的嗓音，这对他的职业生涯产生了影响。

Circa 1150 CE, the Arab surgeon Ibn Zuhr performs a tracheotomy on a goat to prove the safety of the procedure on humans.

约1150年，阿拉伯外科医生伊本·苏尔在山羊身上进行管切开，以证明该手对人体的安全性。

He required an emergency tracheostomy, though his faith in Christian science, which teaches adherents to rely primarily on prayer for healing, complicated matters.

他需要紧急管切开，但由于他信仰基督教科学派，该教义教导信徒主要依靠祈祷来治愈疾病，这得情况变得复杂。

So because of the tracheotomy, Val said he was no longer able to speak without plugging a hole in his throat, which I've seen up close.

所以因为做了管切开， 瓦尔说他不堵住喉咙上的洞就无法说话，这一点我近距离亲眼见过， 真是令人难以置信。