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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 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:

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 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...

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...

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Related Experiment Video

Updated: Jun 10, 2026

The Rigid Tube as an Alternative in Controlling the Problematic Airway

The Rigid Tube as an Alternative in Controlling the Problematic Airway

Published on: June 6, 2020

When to change a tracheostomy tube.

Alexander C White¹, Sucharita Kher, Heidi H O'Connor

¹Department of Pulmonary and Sleep Medicine, Rose Kalman Research Center, New England Sinai Hospital, 150 York Street, Stoughton, MA 02072, USA. awhite@nesinai.org

Respiratory Care

|July 30, 2010

Summary

Changing tracheostomy tubes requires careful timing, especially the first change 1-2 weeks post-placement. Proper technique minimizes risks as the tracheo-cutaneous tract matures, ensuring patient comfort and effective ventilation.

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Last Updated: Jun 10, 2026

The Rigid Tube as an Alternative in Controlling the Problematic Airway

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Published on: June 6, 2020

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Area of Science:

Medical Management
Respiratory Care
Surgical Procedures

Background:

Tracheostomy tube management is crucial for patient care.
The initial tracheostomy tube change carries risks.
Tracheo-cutaneous tract maturation influences change risks.

Purpose of the Study:

To provide guidance on tracheostomy tube change timing.
To discuss risks associated with tracheostomy tube changes.
To highlight methods for ensuring optimal tube positioning.

Main Methods:

Review of current practices and literature.
Discussion of specialized tracheostomy tube options.
Emphasis on skilled operators and safe environments for tube changes.

Main Results:

The first tracheostomy tube change is recommended 1-2 weeks post-placement.
Risks decrease as the tracheo-cutaneous tract matures.
Airway endoscopy aids in confirming optimal replacement tube positioning.

Conclusions:

Guidelines for routine tracheostomy tube changes are suggested due to limited data.
Recognizing and correcting malpositioned tubes is essential for patient well-being.
Optimal management involves skilled procedures and appropriate timing for tracheostomy tube changes.