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Related Concept Videos

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: 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:
Trachea01:22

Trachea

The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of the...
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...
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...

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Updated: Jul 13, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

Current trends in paediatric tracheostomies.

Claudio Parrilla1, Emanuele Scarano, Maria Lavinia Guidi

  • 1Institute of Otolaryngology, Sacro Cuore Catholic University, Rome, Italy. claudioparrilla@yahoo.com

International Journal of Pediatric Otorhinolaryngology
|July 14, 2007
PubMed
Summary

Pediatric tracheostomy indications have shifted from airway obstruction to complications from long-term intubation, leading to younger patients and altered complication rates. This impacts tracheostomy management in children.

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Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
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Published on: May 18, 2019

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Last Updated: Jul 13, 2026

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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:

  • Pediatric Otolaryngology
  • Respiratory Medicine
  • Critical Care Medicine

Background:

  • Historically, acute inflammatory airway obstruction was the primary reason for pediatric tracheostomy.
  • Advances in neonatal intensive care have introduced long-term intubation as an alternative, shifting tracheostomy indications.
  • Subglottic stenosis resulting from prolonged intubation is now a leading cause for tracheostomy in children.

Purpose of the Study:

  • To analyze the changing indications for tracheostomy in pediatric patients.
  • To evaluate the complication rates associated with tracheostomy in children.
  • To assess the impact of altered indications on patient demographics and outcomes.

Main Methods:

  • Retrospective analysis of 38 pediatric patients undergoing tracheostomy.
  • Data collected from a tertiary referral center between November 1998 and November 2004.
  • Patients treated for respiratory failure and upper airway obstruction.

Main Results:

  • Overall complication rate was 42.1%.
  • Complication rates were higher in younger children (under 1 year: 47.4%) compared to older children (over 1 year: 26.3%).
  • Decannulation was attempted in 12 patients after an average cannulation time of 22 months.

Conclusions:

  • Long-term intubation sequelae are a major indication for pediatric tracheostomy.
  • The shift in indications has led to a younger average age of children requiring tracheostomy.
  • Longer cannulation times and younger patient age influence tracheostomy complication rates in pediatric populations.