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Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals.

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Related Experiment Video

Updated: Jul 13, 2026

Learning Modern Laryngeal Surgery in a Dissection Laboratory
07:30

Learning Modern Laryngeal Surgery in a Dissection Laboratory

Published on: March 18, 2020

Long-term quality of life after total laryngectomy.

Isabel Vilaseca1, Amy Y Chen, Andrea G Backscheider

  • 1Department of Otolaryngology, Hospital Clínic i Universitari, Barcelona, Spain.

Head & Neck
|October 4, 2005
PubMed
Summary

Total laryngectomy does not decrease long-term quality of life (QOL) compared to the general population. However, physical function and role limitations are noted, with specific factors like age and treatment influencing outcomes.

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Area of Science:

  • Otolaryngology
  • Oncology
  • Rehabilitation Medicine

Background:

  • Total laryngectomy is perceived to severely impact patient and family quality of life (QOL).
  • Limited research exists on long-term QOL following laryngectomy.

Purpose of the Study:

  • To assess the long-term quality of life (QOL) in patients after total laryngectomy.
  • To identify factors influencing QOL post-laryngectomy.

Main Methods:

  • A cross-sectional study involving 49 patients over 2 years post-total laryngectomy.
  • Utilized the Short Form-12 version 2 (SF-12 v2) for general health and the University of Washington Quality of Life questionnaire version 4 (UW-QOL v4) for disease-specific QOL.

Main Results:

  • Patients reported speech, appearance, and activity as key concerns, yet speech issues did not correlate with overall QOL.
  • Age, sex, radiation, and chemotherapy independently predicted specific UW-QOL subscale scores.
  • General health instruments showed no difference in physical summary domains, but laryngectomees scored better mentally; however, disease-specific measures revealed physical function and role limitations.

Conclusions:

  • Long-term QOL is maintained post-total laryngectomy when assessed with general health tools.
  • Disease-specific instruments reveal impairments in physical scales, influenced by patient demographics and treatment history.
  • Voice handicap is a concern but does not predict overall QOL; UW-QOL and SF-12 show a strong correlation.