Page 34 - BSAVA Manual of Canine and Feline Head, Neck and Thoracic Surgery, 2nd Edition
P. 34

Chapter 2 · Emergency management of respiratory distress
                                                                        Chapter 2 · Emergenc
                                                                                         y management of respirator
                                                                                                               y distress

                    ➜  OPERATIVE TECHNIQUE 2.1 CONTINUED
        VetBooks.ir                                                                              Skin incision and incision

                                                                                                 between thyohyoid muscle
                                                                                                 bellies.















                                                                                                 Incision between the
                                                                                                 sternohyoid muscle bellies.
                                                                                                 Gelpi retractors help to expose
                                                                                                 the trachea.














                                                                                                 Stay sutures have been placed
                                                                                                 either side of the proposed
                                                                                                 annular ligament incision.

















                                                                                                 The annular ligament incision is
                                                                                                 made big enough (but not
                                                                                                 greater than half way around
                                                                                                 the circumference of the
                                                                                                 trachea) to permit gentle
                                                                                                 placement of the
                                                                                                 tracheostomy tube.


















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