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Related Concept Videos

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...
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:
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...
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...

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Related Experiment Video

Updated: Jun 9, 2026

Systematic Bronchoscopy: the Four Landmarks Approach
04:47

Systematic Bronchoscopy: the Four Landmarks Approach

Published on: June 23, 2023

Learning curve for competency in flexible laryngoscopy.

Kulsoom Laeeq1, Vinciya Pandian, Margret Skinner

  • 1Department Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland, USA.

The Laryngoscope
|September 9, 2010
PubMed
Summary

Medical students need an average of six attempts to master flexible laryngoscopy. This suggests competency can be achieved in a lab setting, benefiting residency training programs.

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Area of Science:

  • Medical Education
  • Otolaryngology
  • Medical Simulation

Background:

  • Flexible laryngoscopy is a crucial diagnostic tool in otolaryngology.
  • Assessing competency in procedural skills is vital for medical training.

Purpose of the Study:

  • To determine the average number of attempts required for medical students to achieve competency in flexible laryngoscopy.

Main Methods:

  • A prospective study involving 15 medical students performing flexible laryngoscopy on a mannequin.
  • Competency was evaluated using a standardized checklist, with two consecutive successful attempts required.
  • Performance metrics included attempts, time, and scope-mucosa contact incidents.

Main Results:

  • An average of six attempts (range: 2-17) were needed for competency.
  • An 80% probability of competency was reached by the 14th attempt.
  • Fewer scope-mucosa contacts correlated with a higher probability of competency.

Conclusions:

  • Six attempts are typically required for novices to gain flexible laryngoscopy competency.
  • This skill can be effectively developed in a simulated laboratory environment, reducing patient risk during training.