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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:
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...
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...
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...

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Related Experiment Video

Updated: Jul 10, 2026

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
04:43

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

Published on: March 15, 2024

Pediatric tracheotomy: 17 year review.

Murali Mahadevan1, Colin Barber, Lesley Salkeld

  • 1Department of Pediatric Otolaryngology, Head and Neck Surgery, Auckland Starship Children's Hospital, Park Road, Grafton, Auckland, New Zealand. muralim@adhb.govt.nz

International Journal of Pediatric Otorhinolaryngology
|October 24, 2007
PubMed
Summary

Pediatric tracheotomies for upper airway obstruction show low mortality and morbidity, with successful decannulation in most cases. This study reviewed 122 procedures performed between 1987 and 2003.

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Last Updated: Jul 10, 2026

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Published on: March 15, 2024

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Area of Science:

  • Pediatric Surgery
  • Otolaryngology
  • Critical Care Medicine

Background:

  • Tracheotomy is a vital procedure for managing pediatric airway issues.
  • Understanding outcomes and complications is crucial for optimizing patient care.
  • Data from tertiary care centers provide valuable insights into rare pediatric surgical procedures.

Purpose of the Study:

  • To analyze the indications, outcomes, and complications of pediatric tracheotomies.
  • To evaluate the safety and efficacy of tracheotomy in a pediatric population.
  • To identify factors influencing successful decannulation and long-term morbidity.

Main Methods:

  • Retrospective review of hospital records for pediatric patients undergoing tracheotomy.
  • Data collected from 1987 to 2003 at a major tertiary care children's hospital.
  • Analysis of patient demographics, indications, procedures, complications, and decannulation status.

Main Results:

  • 122 tracheotomies were performed, primarily for upper airway obstruction (70%).
  • Successful decannulation occurred in 75% of patients, with a 51% overall complication rate.
  • Early complications included ventilation issues (4.1%) and accidental decannulation (2.5%); late complications included granulation tissue and suprastomal collapse.

Conclusions:

  • Pediatric tracheotomies at this center demonstrated low procedure-related mortality and morbidity.
  • Successful decannulation rates were high, with the majority of procedures addressing upper airway obstruction.
  • The findings support tracheotomy as a safe and effective intervention for select pediatric patients.