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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...

Oxygen Delivering System III: Tracheostomy and T-piece

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 I: Pre-procedural Steps

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 Decannulation

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...

Tracheostomy Care II: Procedure

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: Procedure

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...

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Related Experiment Video

Updated: Jul 11, 2026

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

Published on: March 15, 2024

Percutaneous tracheostomy.

B K Rao¹, R Pande, S C Sharma

¹Department of Anaesthesiology and Critical Care Medicine, Sir Gangaram Hospital, New Delhi, India. drbkrao@yahoo.com

Annals of Cardiac Anaesthesia

|September 11, 2007

Summary

This summary is machine-generated.

Percutaneous tracheostomy is a safe and cost-effective airway management technique for intensive care patients. It offers favorable outcomes compared to surgical tracheostomy, making it a preferred choice in many ICUs.

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Area of Science:

Medicine
Critical Care
Surgical Procedures

Background:

Tracheostomy is essential for airway management in intensive care patients requiring mechanical ventilation.
Conventional surgical tracheostomy has potential complications and risks.
Percutaneous techniques have emerged as an alternative to surgical tracheostomy.

Purpose of the Study:

To review and compare various percutaneous tracheostomy techniques.
To assess the safety, efficacy, indications, contraindications, and complications of percutaneous tracheostomy.
To evaluate percutaneous tracheostomy against conventional surgical tracheostomy.

Main Methods:

Literature review of Medline and MD Consult databases.
Analysis of early and current percutaneous tracheostomy techniques, including Ciaglia, Griggs, Fantoni, and PercuTwist kits.
Comparison of percutaneous tracheostomy with open surgical tracheostomy.

Main Results:

Early percutaneous tracheostomy techniques (Sheldon, Toye, Schachner) are largely abandoned due to high complication rates.
Ciaglia and Griggs kits are the most frequently used percutaneous tracheostomy devices.
Percutaneous tracheostomy is demonstrated to be safe, cost-effective, and comparable to surgical tracheostomy, with many ICUs adopting it as the preferred method.

Conclusions:

Percutaneous tracheostomy is a safe and effective alternative to surgical tracheostomy for intensive care patients.
While effective, percutaneous tracheostomy requires a learning curve, careful patient selection, and meticulous technique.
The adoption of percutaneous tracheostomy in ICUs highlights its favorable profile and growing acceptance.