Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

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: 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...

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 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:

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

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,...

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...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Spread the Word About CHEST in 2019: Innovations, Introductions, and Farewells.

Chest·2019

Same author

Spread the Word About CHEST in 2018: An Updated Website, a New Section, and a Look to the Future.

Chest·2018

Same author

Spread the Word About CHEST for 2017: Collaboration With Elsevier, Publishing of Guidelines, More Multimedia Content, and Changes for Reviewers and Authors.

Chest·2017

Same author

Update of Antithrombotic Guidelines: Medical Professionalism and the Funnel of Knowledge.

Chest·2016

Same author

Multidisciplinary COPD disease management program: impact on clinical outcomes.

Postgraduate medicine·2015

Same author

Chipping away at duration of therapy for idiopathic acute eosinophilic pneumonia.

Respirology (Carlton, Vic.)·2015

Search research articles

Related Experiment Video

Updated: Jul 6, 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

Tracheostomy decannulation: marathons and finish lines.

John E Heffner¹

¹Providence Portland Medical Center, NE Hoyt St, Portland, Oregon, 97213 USA. John_heffner@mac.com

Critical Care (London, England)

|April 9, 2008

Summary

This summary is machine-generated.

Deciding when to remove a tracheostomy tube (tracheostomy decannulation) lacks evidence-based guidelines. This study surveyed experts, identifying factors for tube removal and highlighting the need for systematic protocols to reduce practice variation in critical care.

More Related Videos

Measuring Pressure Volume Loops in the Mouse

Measuring Pressure Volume Loops in the Mouse

Published on: May 2, 2016

Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease

Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease

Published on: January 20, 2010

Related Experiment Videos

Last Updated: Jul 6, 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

Measuring Pressure Volume Loops in the Mouse

Measuring Pressure Volume Loops in the Mouse

Published on: May 2, 2016

Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease

Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease

Published on: January 20, 2010

Area of Science:

Critical Care Medicine
Respiratory Therapy
Surgical Innovation

Background:

Critically ill patients recovering from respiratory failure often require tracheostomy, necessitating eventual airway decannulation.
Current expert recommendations for tracheostomy decannulation lack robust investigative data, leading to significant practice variation.
This variation can limit the effectiveness of weaning patients from tracheostomy tubes.

Discussion:

A survey of experienced physicians and respiratory therapists identified key clinical factors for selecting patients for tracheostomy tube removal.
These identified factors can serve as a foundation for designing future clinical trials on tracheostomy decannulation.
The study highlights a critical knowledge deficit in evidence-based care for managing tracheotomized patients post-critical illness.

Key Insights:

Expert opinions suggest specific clinical factors are crucial for determining tracheostomy tube removal readiness.
There is a recognized need for systematic protocols to standardize and improve tracheostomy decannulation practices.
Quality improvement techniques and established models can guide the development of such protocols for diverse patient populations.

Outlook:

Future research should focus on clinical trials informed by expert-identified factors to establish evidence-based decannulation guidelines.
Healthcare providers must acknowledge the current knowledge gaps and proactively develop standardized care protocols.
Implementing systematic protocols, potentially adapted from existing models, is essential for optimizing patient care and reducing practice variability.