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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...
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

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,...
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...
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:
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...

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Related Experiment Video

Updated: May 22, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

Elective tracheostomy in mechanically ventilated children.

Prem Kumar Maheshwari1, Muhammad Rehan Khan, Anwarul Haque

  • 1Department of Paediatrics and Child Health, The Aga Khan University Hospital, Karachi.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|May 29, 2012
PubMed
Summary
This summary is machine-generated.

This study reviewed pediatric tracheostomies in Pakistan, finding prolonged ventilation and airway obstruction as key reasons. While complications like decannulation occurred, 40% of children were successfully decannulated with no tracheostomy-related deaths.

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Guidelines for Elective Pediatric Fiberoptic Intubation
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Guidelines for Elective Pediatric Fiberoptic Intubation

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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

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Area of Science:

  • Pediatric Critical Care Medicine
  • Surgical Procedures in Children

Background:

  • Tracheostomy is a vital intervention for pediatric patients needing extended mechanical ventilation.
  • Understanding the nuances of tracheostomy in diverse healthcare settings is crucial for optimizing patient care.

Purpose of the Study:

  • To retrospectively analyze the frequency, indications, postoperative course, and short-term outcomes of elective tracheostomies in a Pakistani Paediatric Intensive Care Unit (PICU).

Main Methods:

  • A retrospective review of 25 pediatric patients who underwent elective tracheostomy over a 5-year period.
  • Data collected included patient demographics, indications for tracheostomy, complications, and decannulation rates.

Main Results:

  • Tracheostomy was performed in 2.2% of PICU admissions, with a mean patient age of 6 years (60% male).
  • Primary indications were prolonged mechanical ventilation (60%) and upper airway obstruction (40%).
  • Major complications included accidental decannulation (20%) and tube obstruction (20%); 12% developed VAP, and 32% had persistent tracheal colonization. Decannulation was successful in 40% of patients, with no tracheostomy-related mortality.

Conclusions:

  • Elective tracheostomy in this Pakistani PICU is primarily indicated for respiratory support in children with neurological conditions or airway obstruction.
  • While complications are present, successful decannulation is achievable, and tracheostomy-related mortality can be avoided with careful management.