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52132 - Tracheostomy

MBS service description:

TRACHEOSTOMY (Anaes.)
Schedule Fee:
283.65
@85% Benefit Fee:
241.15
@75% Benefit Fee:
241.15
Last updated on
March 29, 2025

When is item code 52132 (Tracheostomy) typically used?

The need for tracheostomy in the oral and maxillofacial region arises when a patient faces airway obstruction or requires prolonged ventilatory support—often from trauma, swelling, or surgery—necessitating a surgical airway through the trachea under anesthesia. This procedure is indicated for emergencies or chronic conditions where oral or nasal breathing is compromised, critical in the maxillofacial area where swelling or structural issues can block the airway.

Specific scenarios include:

  • Trauma: Facial fractures or swelling from an accident might obstruct breathing, needing a tracheostomy.
  • Infections: A deep neck abscess could swell shut the airway, requiring this for safety.
  • Surgery: Major jaw reconstruction might need temporary airway support post-operation.
  • Chronic issues: Neurological conditions impairing swallowing might necessitate this for ventilation.

For example, a patient with severe mandibular trauma might need this to breathe during swelling, done in a hospital. In aged care, an elderly patient with airway obstruction from infection could benefit from this, given their frailty. By creating a tracheal opening, this service ensures breathing, prevents hypoxia, and supports treatment, making it vital for airway management in the maxillofacial region.

Benefits to the patient

Surgeons performing a tracheostomy on the patient under anesthesia deliver life-saving benefits for airway issues. A key advantage is securing the airway. This procedure establishes a direct breathing path for the patient, bypassing obstructions—vital for 'tracheostomy benefits.' It also prevents respiratory failure by ensuring the patient’s oxygen supply remains uninterrupted. Additionally, it supports treatment by facilitating ventilation or secretion management, enhancing the patient’s recovery from underlying conditions. For surgeons exploring 'airway management advantages,' this service ensures patients benefit from airway security, respiratory stability, and treatment support, making it an essential intervention for critical breathing difficulties.

Recovery considerations

Recovery of 1-2 weeks with tube care; hospital stay and monitoring required.

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