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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: 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.
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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 Care I: Pre-procedural Steps

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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.
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Tracheostomy Suctioning II: Procedure

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...

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.
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Updated: May 23, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

Tracheocutaneous fistula closure.

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 tracheocutaneous fistula (TCF) after tracheotomy can cause significant health issues. Fistulectomy with layered closure offers a definitive surgical solution, improving patient outcomes and cosmetic results.

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Last Updated: May 23, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

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Published on: July 4, 2019

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

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Published on: May 26, 2023

Area of Science:

Pediatric Otolaryngology
Surgical Sequelae Management
Tracheostomy Complications

Background:

Tracheocutaneous fistula (TCF) is a known complication following tracheotomy in children.
Persistent TCF leads to significant morbidity, including aspiration, respiratory infections, phonation issues, and cosmetic concerns.

Purpose of the Study:

To describe the surgical technique for TCF closure.
To highlight methods for achieving successful outcomes and good cosmetic results.

Main Methods:

Fistulectomy with primary layered closure is presented as the preferred surgical approach.
Detailed surgical techniques and pearls for successful TCF closure are discussed.

Main Results:

This method definitively removes the fistula.
It provides a favorable cosmetic outcome for pediatric patients.
Minimal postoperative wound care is typically required.

Conclusions:

Fistulectomy with primary layered closure is an effective surgical option for pediatric tracheocutaneous fistulas.
The technique ensures complete fistula eradication and satisfactory cosmetic results.
This approach simplifies postoperative management.