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Related Concept Videos

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:
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 Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

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.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
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...
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
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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Related Experiment Video

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

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Published on: December 5, 2025

Open bedside tracheostomy: routine procedure for patients under prolonged mechanical ventilation.

Ricardo Mingarini Terra1, Angelo Fernandez, Ricardo Helbert Bammann

  • 1Hospital das Clínicas, Medical School, University of São Paulo, São Paulo, SP, Brazil. rmterra@uol.com.br

Clinics (Sao Paulo, Brazil)
|September 8, 2007
PubMed
Summary

Open bedside tracheostomy (OBT) is a safe and effective procedure for critically ill patients, even without strict selection criteria. This approach offers a viable option for intensive care unit (ICU) patients requiring respiratory support.

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Area of Science:

  • Critical Care Medicine
  • Surgical Procedures
  • Respiratory Support

Background:

  • Tracheostomy is essential for prolonged respiratory support in critically ill patients.
  • Barriers to tracheostomy include transport risks, costs, and operating room scheduling.
  • Rigid selection criteria limit access to tracheostomy for many eligible patients.

Purpose of the Study:

  • To evaluate the safety of open bedside tracheostomy (OBT) as a routine intensive care unit (ICU) procedure.
  • To assess peri and postoperative complications of OBT performed without selection criteria.

Main Methods:

  • Retrospective review of 552 patients undergoing elective tracheostomy between April 1999 and December 2005.
  • Data collected from three private hospital ICUs.
  • Analysis of peri and postoperative complications within 30 days and late complications.

Main Results:

  • The overall incidence of significant complications was 4.34% (24 cases).
  • Early complications included bleeding (18 cases), subcutaneous emphysema (2 cases), and stomal infections (4 cases).
  • Late complications involved laryngotracheal stenosis (2 cases) and tracheoinominate fistula (1 case).

Conclusions:

  • Open bedside tracheostomy (OBT) is a safe and simple procedure when performed by experienced physicians in controlled settings.
  • OBT should be considered a valuable option for intensive care unit (ICU) patients.
  • Performing OBT without strict selection criteria is feasible and associated with low complication rates.