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Tracheostomy: Procedure and Tubes

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 Care I: Pre-procedural Steps

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A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
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Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
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Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
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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.
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Related Experiment Video

Updated: Jul 18, 2026

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy

Published on: May 18, 2019

Pitfalls in pediatric tracheostomy: a case report.

Tamara Culnane¹, Bruce Hullett, Tanya Farrell

¹Department of Anaesthesia and Pain Management, Princess Margaret Hospital For Children, Perth, WA, Australia. tamara.culnane@bigpond.com

Paediatric Anaesthesia

|November 24, 2006

Summary

Tracheostomy placement can be challenging in infants with Goldenhar syndrome. Careful assessment of tube size and position is crucial to prevent dangerous breathing complications.

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Last Updated: Jul 18, 2026

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy

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Area of Science:

Pediatric Surgery
Neonatology
Genetics

Background:

Goldenhar syndrome, a congenital disorder, frequently necessitates tracheostomy due to upper airway obstruction, affecting approximately 22% of affected children.
Premature infants with complex congenital anomalies present unique surgical and anesthetic challenges.

Observation:

A 24-week-old ex-premature infant diagnosed with Goldenhar syndrome experienced life-threatening ventilatory insufficiency immediately after tracheostomy.
The infant's tracheostomy tube size and position were identified as critical factors contributing to the post-procedural respiratory compromise.

Findings:

Problematic tracheostomy placement occurred in this case, leading to severe ventilatory insufficiency.
The complications were directly linked to the selected tracheostomy tube size and its placement within the airway.

Implications:

This case highlights the critical need for precise assessment of tracheostomy tube size and position in neonates with Goldenhar syndrome.
A revised practice in assessing tube placement could potentially prevent severe respiratory complications and improve patient outcomes.
Enhanced vigilance and tailored approaches are necessary for managing airway issues in infants with rare congenital syndromes.