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Related Concept Videos

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...
Trachea01:22

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...
Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
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:
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...

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The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation
03:58

The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation

Published on: August 2, 2024

Transnasal tracheoscopy.

Sunil P Verma1, Marshall E Smith, Seth H Dailey

  • 1University Voice and Swallowing Center, Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine School of Medicine, Orange, California, USA.

The Laryngoscope
|April 24, 2012
PubMed
Summary
This summary is machine-generated.

Unsedated transnasal tracheoscopy (TNT) is a safe and effective awake airway examination technique. This study found TNT to have a high success rate and well-defined indications for managing airway pathology.

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Area of Science:

  • Otolaryngology-Head and Neck Surgery
  • Airway Management
  • Diagnostic Procedures

Background:

  • Unsedated transnasal tracheoscopy (TNT) is an emerging office-based technique for awake airway examination.
  • Its role in otolaryngology-head and neck surgery requires further investigation.

Purpose of the Study:

  • To evaluate the safety, success rate, indications, and findings of TNT.
  • To assess TNT's utility in an academic medical center setting.

Main Methods:

  • Retrospective chart review of patients undergoing TNT between 2007-2009.
  • Data collected included patient demographics, complications, procedural success, indications, and findings.

Main Results:

  • Sixty-eight TNTs were performed on 44 patients (age 16-91).
  • No complications were reported, and 91% of procedures were successfully completed.
  • Indications included detecting airway stenosis, pre-surgical evaluation, post-intervention monitoring, and pre-decannulation assessment.

Conclusions:

  • TNT is a safe, well-tolerated procedure using topical anesthesia, offering an alternative to rigid bronchoscopy.
  • High success rates and defined indications support its use in managing airway pathology.
  • TNT is established as a standard tool in airway management practices.