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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...
Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

Enteral Nutrition I: Orogastric and Nasogastric Feeding

Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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...

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Related Experiment Video

Updated: Jul 7, 2026

The Rigid Tube as an Alternative in Controlling the Problematic Airway
08:26

The Rigid Tube as an Alternative in Controlling the Problematic Airway

Published on: June 6, 2020

Is i.v. access necessary for myringotomy with tubes?

Arthur H Allen1

  • 1Georgia ENT & Facial Plastics, PC, Valdosta, GA 31602, USA. georgiaent@bellsouth.net

Ear, Nose, & Throat Journal
|January 30, 2008
PubMed
Summary

Establishing intravenous access is not necessary for pediatric myringotomy with tube insertion. Omitting IVs reduces induction time and avoids increased need for postoperative pain medication and antiemetics.

Area of Science:

  • Pediatric Anesthesiology
  • Otolaryngology
  • Surgical Procedures

Background:

  • Intravenous (IV) access is commonly established before pediatric surgical procedures.
  • The necessity of IV access for myringotomy with tube insertion in children is debated.

Purpose of the Study:

  • To evaluate the necessity of intravenous access for pediatric myringotomy with tube insertion.
  • To compare procedural outcomes, pain management, and postoperative complications between patients with and without IV access.

Main Methods:

  • Retrospective chart review of 50 pediatric patients undergoing myringotomy with tube insertion.
  • Patients were divided into two groups: Group 1 (no IV access) and Group 2 (IV access established).
  • Inclusion criteria included age ≤12 years, American Society of Anesthesiologists physical status P1 or P2, and no adjunctive procedures.

Related Experiment Videos

Last Updated: Jul 7, 2026

The Rigid Tube as an Alternative in Controlling the Problematic Airway
08:26

The Rigid Tube as an Alternative in Controlling the Problematic Airway

Published on: June 6, 2020

Main Results:

  • Induction time was significantly shorter in Group 1 (6.96 min) compared to Group 2 (9.80 min; p=0.004).
  • Postoperative pain in Group 1 was managed with acetaminophen or no medication; Group 2 required more IV pain medication.
  • No patients in Group 1 needed antiemetics, while 4 in Group 2 did, associated with narcotic use.

Conclusions:

  • Myringotomy with tube insertion can be safely performed without establishing intravenous access in pediatric patients.
  • Omitting IV access reduces induction time and time under general anesthesia.
  • Acetaminophen is adequate for postoperative pain control, and IV narcotics increase the risk of nausea.