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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 Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

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.
Required Equipment
The equipment necessary for tracheostomy care includes:
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
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...
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

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.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
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...

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Related Experiment Video

Updated: Jul 18, 2026

Preoxygenation Techniques for Tracheal Intubation in Critically Ill Adults Utilizing Oxygen Mask and Noninvasive Ventilation
07:15

Preoxygenation Techniques for Tracheal Intubation in Critically Ill Adults Utilizing Oxygen Mask and Noninvasive Ventilation

Published on: December 5, 2025

Tracheostomy in the critically ill: indications, timing and techniques.

Danja Strumper Groves1, Charles G Durbin

  • 1Department of Anesthesiology, University of Virginia, Charlottesville, Virginia 22908-0710, USA.

Current Opinion in Critical Care
|January 2, 2007
PubMed
Summary

Early tracheostomy may be preferable for select intensive care unit patients, though optimal timing remains debated. Percutaneous techniques offer a safe option, but more randomized trials are needed to confirm benefits.

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Last Updated: Jul 18, 2026

Preoxygenation Techniques for Tracheal Intubation in Critically Ill Adults Utilizing Oxygen Mask and Noninvasive Ventilation
07:15

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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
10:06

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

Published on: May 18, 2019

Area of Science:

  • Critical Care Medicine
  • Surgical Procedures
  • Respiratory Therapy

Background:

  • Tracheostomy is a frequent intensive care unit (ICU) procedure.
  • Indications, risks, benefits, timing, and techniques are subject to ongoing debate.
  • Individualized patient assessment is crucial for decision-making.

Purpose of the Study:

  • To review recent literature on tracheostomy in critically ill patients.
  • To provide an update on current practices and controversies.
  • To explore evidence regarding the optimal timing and methods of tracheostomy.

Main Methods:

  • Review of recent literature on tracheostomy in the ICU.
  • Analysis of available prospective and retrospective studies.
  • Evaluation of evidence from randomized controlled trials (where available).

Main Results:

  • Limited prospective randomized data exist on tracheostomy practices in the ICU.
  • Most available studies are small, heterogeneous, and yield conflicting results.
  • Evidence suggests early tracheostomy may benefit selected patients.

Conclusions:

  • Percutaneous tracheostomy is increasingly popular and considered relatively safe due to advanced techniques.
  • The optimal timing for tracheostomy has not been definitively established by randomized controlled trials.
  • Retrospective and prospective studies suggest performing tracheostomy within 10 days of respiratory failure is often favored.