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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...

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

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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...

Trachea

Trachea

The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of the...

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 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.
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Updated: May 23, 2026

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model

Published on: April 1, 2019

Laryngotracheal reconstruction.

Thomas Q Gallagher¹, Christopher J Hartnick

¹Department of Otolaryngology, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708, USA. thomasqgallagher@yahoo.com

Advances in Oto-Rhino-Laryngology

|April 5, 2012

Summary

This summary is machine-generated.

Pediatric laryngotracheal reconstruction (LTR) is a successful treatment for subglottic stenosis, with success rates near 90%. This chapter details single and double-stage LTR techniques and essential surgical tips for optimal outcomes.

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Area of Science:

Otolaryngology
Pediatric Surgery
Airway Reconstruction

Background:

Subglottic stenosis significantly impacts pediatric respiration.
Laryngotracheal reconstruction (LTR) is the standard surgical approach.
Success rates for decannulation or avoiding tracheotomy approach 90%.

Purpose of the Study:

To describe single and double-stage laryngotracheal reconstruction (LTR) techniques.
To highlight surgical pearls for successful pediatric LTR.
To provide an overview of the evolution of LTR procedures.

Main Methods:

Review of established laryngotracheal reconstruction (LTR) techniques.
Description of single and double-stage surgical approaches.
Emphasis on surgical nuances for pediatric airway reconstruction.

Main Results:

Laryngotracheal reconstruction (LTR) offers high success rates in pediatric subglottic stenosis.
The procedure has evolved significantly since its introduction.
Specific techniques aim to expand the airway for stable respiration.

Conclusions:

Pediatric laryngotracheal reconstruction (LTR) is a highly effective treatment for subglottic stenosis.
Surgical expertise and technique are crucial for successful outcomes.
The described methods provide a foundation for airway management in children.