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Related Concept Videos

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...
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:
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 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...
Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...

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Related Experiment Video

Updated: Jul 3, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
09:40

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

Published on: April 17, 2020

Cervical pharyngostomy: an old technique revisited.

Michael S Kent1, Omar Awais, Matthew J Schuchert

  • 1Heart, Lung and Esophageal Surgery Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15232, USA.

Annals of Surgery
|July 25, 2008
PubMed
Summary

Pharyngostomy tubes offer a comfortable alternative for managing foregut surgery complications, providing essential nutritional access and gastric decompression with minimal major adverse events.

Related Experiment Videos

Last Updated: Jul 3, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
09:40

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

Published on: April 17, 2020

Area of Science:

  • Gastroenterology
  • Surgical Procedures
  • Medical Devices

Background:

  • Cervical pharyngostomy tubes are percutaneously placed devices historically used for nutritional support in head and neck cancer resections.
  • This technique is also applicable for managing complications arising after esophagectomy or gastric surgery.

Purpose of the Study:

  • To review the clinical experience with pharyngostomy tubes in managing post-foregut surgery complications.
  • To discuss the technical aspects associated with the insertion of these tubes.

Main Methods:

  • A retrospective review was conducted at the University of Pittsburgh Medical Center between 1995 and 2007.
  • Data collected included indications for tube placement, procedure-related complications, and duration of use.

Main Results:

  • Thirty-eight patients received pharyngostomy tubes for indications including enteral nutrition (n=18), gastric decompression (n=13), and abscess drainage (n=4).
  • Minor complications such as tube migration (n=9) and cellulitis (n=1) were observed; however, no major complications occurred.
  • The average duration of tube placement was 51 days.

Conclusions:

  • Pharyngostomy tubes are a viable option for managing complications after esophageal and gastric surgery.
  • These tubes provide a more comfortable alternative to nasogastric tubes and can be maintained for extended periods.
  • The procedure demonstrated a favorable safety profile with no reported major complications in this series.