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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...

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...

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 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...

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...

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,...

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Related Experiment Video

Updated: May 27, 2026

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy

Published on: May 18, 2019

Tracheostomy cannulas and voice prosthesis.

Burkhard Kramp¹, Steffen Dommerich

¹Univ. HNO-Klinik, Rostock, Germany.

GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery

|November 11, 2011

Summary

This summary is machine-generated.

Tracheostomy cannulas and voice prostheses aid patients after airway surgeries. Proper selection and use of these devices, including tracheostoma valves, are crucial for effective voice and pulmonary rehabilitation.

Keywords:

biofilms care complication design and material duration of stay fixation function and efficiency history laryngectomy microbial settlement tracheostomy cannula tracheotomy voice prosthesis

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Murine Intrapulmonary Tracheal Transplantation: A Model for Investigating Obliterative Airway Disease After Lung Transplantation

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Published on: November 10, 2023

Area of Science:

Medical Devices
Otolaryngology
Surgical Rehabilitation

Background:

Tracheotomy and laryngectomy necessitate mechanical aids like cannulas and voice prostheses.
Epithelised tracheostomas are vital for persistent airway obstruction, requiring specialized care and ventilation.
Cannulas and voice prostheses are essential for maintaining airway patency and restoring function.

Purpose of the Study:

To review the indications and functions of cannulas and voice prostheses.
To highlight the importance of appropriate device selection for patient rehabilitation.
To discuss voice rehabilitation strategies post-laryngectomy.

Main Methods:

Review of surgical interventions (tracheotomy, laryngectomy) and their implications.
Description of various tracheostomy cannulas and their material properties.
Analysis of voice prostheses, including their adaptation, application with HME, and factors affecting longevity.

Main Results:

Tracheostomy cannulas vary in material and function, requiring patient-specific selection.
Voice prostheses offer efficient voice rehabilitation post-laryngectomy, with valve prostheses providing superior voice quality.
Combined use of voice prostheses with Head and Moisture Exchangers (HME) enhances both vocal and pulmonary recovery.

Conclusions:

Appropriate selection and management of cannulas and voice prostheses are critical for patient outcomes.
Adherence to surgical principles during laryngectomy is essential for effective voice prosthesis function.
Physicians must be prepared for potential device failures or loss in patients with voice prostheses.