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Related Concept Videos

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...
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...
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

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,...
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals.
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...

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Related Experiment Video

Updated: Jun 24, 2026

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

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Decannulation following tracheostomy for prolonged mechanical ventilation.

Heidi H O'Connor1, Kelly J Kirby, Norma Terrin

  • 1Pulmonary and Sleep Division, New England Sinai Hospital, Stoughton, MA 02072, USA.

Journal of Intensive Care Medicine
|March 14, 2009
PubMed
Summary

Decannulation success was 35% in patients undergoing prolonged mechanical ventilation (PMV) weaning in long-term acute care (LTAC) hospitals. Early tracheostomy placement and shorter acute care stays were linked to decannulation failure.

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Area of Science:

  • Critical Care Medicine
  • Pulmonology
  • Respiratory Therapy

Background:

  • Investigated decannulation outcomes in patients transferred to long-term acute care (LTAC) for weaning from prolonged mechanical ventilation (PMV).
  • Assessed factors influencing successful decannulation post-tracheostomy in a specialized care setting.

Purpose of the Study:

  • To determine the success rate of decannulation in patients with PMV requiring LTAC.
  • To identify predictors of decannulation success or failure in this patient population.

Main Methods:

  • Retrospective chart review of 135 patients.
  • Analysis of patient data including tracheostomy timing, length of stay at acute facilities, and decannulation status.

Main Results:

  • Decannulation was successful in 35% of patients at a median of 45 days post-tracheostomy.
  • Failure to decannulate was associated with earlier tracheostomy placement and shorter acute care length of stay.
  • Long-term survival was 35% for all patients and 62% for successfully decannulated patients.

Conclusions:

  • Decannulation was achieved in 35% of patients transferred to LTAC for PMV weaning.
  • Patient characteristics and prior acute care management influenced decannulation outcomes.