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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 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 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 5, 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

Controversies in mechanical ventilation: when should a tracheotomy be placed?

Christopher King1, Lisa K Moores

  • 1Pulmonary/Critical Care Medicine, Walter Reed Army Medical Center, 3831 Rodman Street Apartment F30, Washington, DC 20016, USA.

Clinics in Chest Medicine
|April 29, 2008
PubMed
Summary

Deciding between tracheotomy and prolonged translaryngeal intubation (TLI) for mechanically ventilated patients requires careful consideration of risks and benefits. This review aids intensivists in making individualized patient care decisions.

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Last Updated: Jul 5, 2026

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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Area of Science:

  • Critical Care Medicine
  • Pulmonology
  • Surgical Procedures

Background:

  • Mechanically ventilated patients pose a common clinical challenge regarding airway management.
  • The choice between tracheotomy and prolonged translaryngeal intubation (TLI) is complex and requires careful assessment.

Purpose of the Study:

  • To review the medical literature comparing the benefits and risks of tracheotomy versus TLI.
  • To discuss optimal timing for tracheotomy.
  • To propose a decision-making algorithm for intensivists.

Main Methods:

  • Comprehensive review of existing medical literature.
  • Analysis of risks and benefits of tracheotomy and TLI.
  • Evaluation of data on optimal procedural timing.

Main Results:

  • Tracheotomy and TLI present distinct risk-benefit profiles.
  • Individualized patient factors and clinical course are crucial for decision-making.
  • Evidence regarding optimal timing for tracheotomy is discussed.

Conclusions:

  • The decision for tracheotomy in mechanically ventilated patients is complex.
  • A thorough understanding of risks, benefits, and patient-specific factors is essential.
  • An algorithmic approach may support clinical decision-making for intensivists.