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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...
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...
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...
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...

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Related Experiment Video

Updated: May 16, 2026

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model
09:57

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

Published on: April 1, 2019

Retained sutures in the trachea.

Madan Joshi1, Marie Budev, Michael Machuzak

  • 1Department of Pulmonary Disease and Critical Care, Cleveland Clinic Foundation, Cleveland, OH.

Journal of Bronchology & Interventional Pulmonology
|November 22, 2012
PubMed
Summary
This summary is machine-generated.

Retained suture material from a previous tracheostomy caused tracheal wall irregularity in a lung transplant candidate. Prompt bronchoscopic removal resolved the issue, highlighting the importance of thorough evaluation post-tracheostomy.

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Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease
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Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease

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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease
09:10

Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease

Published on: January 20, 2010

Area of Science:

  • Respiratory Medicine
  • Surgical Complications
  • Diagnostic Imaging

Background:

  • Tracheostomy is a common procedure for managing airway obstruction and respiratory failure.
  • Complications can arise from retained surgical materials, potentially leading to airway issues.
  • Mucosal irregularities in the trachea require careful evaluation, especially in patients undergoing lung transplant assessment.

Purpose of the Study:

  • To report a case of tracheal mucosal irregularity secondary to retained suture material after tracheostomy.
  • To emphasize the diagnostic utility of flexible bronchoscopy in identifying and managing such complications.
  • To highlight the importance of considering prior surgical interventions in patients presenting with airway abnormalities.

Main Methods:

  • A 57-year-old male patient underwent evaluation for tracheal mucosal irregularity detected on chest computed tomography.
  • Flexible bronchoscopy was performed to visualize the anterior tracheal wall.
  • Retained suture material was identified at the prior tracheostomy site and removed using endoscopic clipping.

Main Results:

  • Computed tomography revealed mucosal irregularity of the anterior tracheal wall.
  • Flexible bronchoscopy confirmed the presence of retained suture material at the previous tracheostomy site.
  • The retained suture material was successfully removed via bronchoscopy.

Conclusions:

  • Retained suture material from tracheostomy is a potential cause of tracheal mucosal irregularity.
  • Flexible bronchoscopy is an effective tool for diagnosing and treating retained surgical material in the airway.
  • Complete evaluation of patients with airway abnormalities should include a history of prior surgical procedures like tracheostomy.