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Related Concept Videos

Tracheostomy Decannulation01:21

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 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...
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 II: Procedure01:25

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: Procedure and Tubes01:28

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-piece01:23

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: May 23, 2026

Learning Modern Laryngeal Surgery in a Dissection Laboratory
07:30

Learning Modern Laryngeal Surgery in a Dissection Laboratory

Published on: March 18, 2020

Vocal cordotomy.

Vikash K Modi1

  • 1Pediatric Otolaryngology, Department of Otolaryngology- Head & Neck Surgery, Weill Cornell Medical College, 428 East 72nd Street, New York, NY 10021, USA. vkm2001@med.cornell.edu

Advances in Oto-Rhino-Laryngology
|April 5, 2012
PubMed
Summary
This summary is machine-generated.

Congenital bilateral vocal fold paralysis (BVFP) is a common cause of neonatal stridor. Vocal cordotomy is presented as a preferred endoscopic surgical option for achieving decannulation in affected children.

Related Experiment Videos

Last Updated: May 23, 2026

Learning Modern Laryngeal Surgery in a Dissection Laboratory
07:30

Learning Modern Laryngeal Surgery in a Dissection Laboratory

Published on: March 18, 2020

Area of Science:

  • Pediatric Otolaryngology
  • Neonatal Airway Management
  • Pediatric Surgery

Background:

  • Congenital bilateral vocal fold paralysis (BVFP) is a significant cause of neonatal stridor.
  • Many neonates with BVFP require tracheostomy due to upper airway obstruction.
  • Spontaneous resolution occurs in over 50% of cases, prompting consideration for surgical intervention to facilitate decannulation.

Purpose of the Study:

  • To review the etiologies and management of congenital bilateral vocal fold paralysis (BVFP) in neonates.
  • To discuss surgical goals for achieving airway patency and decannulation while preserving speech and swallowing functions.
  • To present the author's preferred first-line endoscopic surgical approach for BVFP.

Main Methods:

  • Review of etiologies for BVFP including neurologic, malformations, iatrogenic, traumatic, and idiopathic causes.
  • Discussion of the indications for surgical intervention, particularly for decannulation in children over one year of age.
  • Presentation of vocal cordotomy as a preferred endoscopic surgical technique.

Main Results:

  • BVFP necessitates tracheostomy in approximately 50% of affected children.
  • Surgical intervention aims to balance airway adequacy for decannulation with minimal impact on phonation and deglutition.
  • Vocal cordotomy is proposed as an effective first-line endoscopic treatment.

Conclusions:

  • Effective airway management is crucial for neonates with BVFP.
  • Surgical strategies for decannulation in BVFP should prioritize functional outcomes.
  • Endoscopic vocal cordotomy represents a viable and preferred initial surgical approach for pediatric BVFP management.