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Oliver's sign, or the tracheal tug sign, is an abnormal downward movement of the trachea during systole that can indicate a dilation or aneurysm of the aortic arch.. Oliver's sign is elicited by gently grasping the cricoid cartilage and applying upward pressure while the patient stands with their chin extended upward.
Image shows early occurrence of tracheal deviation. Tracheal deviation is a clinical sign that results from unequal intrathoracic pressure within the chest cavity.It is most commonly associated with traumatic pneumothorax, but can be caused by a number of both acute and chronic health issues, such as pneumonectomy, atelectasis, pleural effusion, fibrothorax (pleural fibrosis), or some cancers ...
Tracheal intubation refers to the insertion of a tube down the trachea. [18] This procedure is commonly performed during surgery , in order to ensure a person receives enough oxygen when sedated. The catheter is connected to a machine that monitors the airflow, oxygenation and several other metrics.
Laryngotracheal stenosis is an umbrella term for a wide and heterogeneous group of very rare conditions. The population incidence of adult post-intubation laryngotracheal stenosis which is the commonest benign sub-type of this condition is approximately 1 in 200,000 adults per year. [10] The main causes of adult laryngotracheal stenosis are:
The carina is a cartilaginous ridge separating the left and right main bronchi that is formed by the inferior-ward and posterior-ward prolongation of the inferior-most tracheal cartilage. [ 2 ] The carina occurs at the lower end of the trachea - usually at the level of the 4th to 5th thoracic vertebra .
The most common tracheal injury is a tear near the carina or in the membranous wall of the trachea. [15] In blunt chest trauma, TBI occurs within 2.5 cm of the carina 40–80% of the time. [ 2 ] The injury is more common in the right main bronchus than the left, possibly because the former is near vertebrae , which may injure it. [ 2 ]
According to the 2012 Cochrane review, there is no evidence supporting medical therapy over surgical therapy for significant tracheomalacia, or vice versa. Current recommendations for mild to moderate non-life-threatening tracheomalacia focuses on symptom management. [5] Regular use of hypertonic saline nebulizers [5]
Tracheobronchitis is often a hospital-acquired infection, particularly in an intensive care setting, associated with the use of mechanical ventilators, and the need for inserting a tracheal tube. In these cases it is known as ventilator-associated tracheobronchitis.