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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 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 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:
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,...
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...
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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Related Experiment Video

Updated: May 14, 2026

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
04:43

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

Published on: March 15, 2024

[Percutaneous tracheostomy in the ventilated patient].

J M Añón1, J B Araujo1, M P Escuela1

  • 1Servicio de Medicina Intensiva, Hospital Virgen de la Luz, Cuenca, España.

Medicina Intensiva
|January 26, 2013
PubMed
Summary

Percutaneous tracheostomy (PT) is a preferred method for creating surgical airways in ventilated patients. This review examines the current state of PT, highlighting its benefits and techniques for critically ill individuals.

Keywords:
Percutaneous tracheostomyProlonged mechanical ventilationTracheostomyTraqueotomíaTraqueotomía percutáneaVentilación mecánica prolongada

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Last Updated: May 14, 2026

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
04:43

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Published on: March 15, 2024

Measuring Pressure Volume Loops in the Mouse
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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
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Area of Science:

  • Critical Care Medicine
  • Pulmonology
  • Surgical Procedures

Background:

  • Tracheostomy is indicated for upper airway obstruction, preventing airway damage from prolonged intubation, and facilitating secretion removal.
  • Percutaneous tracheostomy (PT) has become a widely accepted alternative to surgical tracheostomy since 1985 for long-term ventilated patients.
  • Comparative trials and technique advancements have increased the popularity of PT, particularly percutaneous dilatation under bronchoscopic control.

Purpose of the Study:

  • To review the current state of percutaneous tracheostomy (PT) in mechanically ventilated patients.
  • To analyze the advantages and evolving techniques of PT in critical care settings.
  • To discuss the indications and individualized timing of tracheostomy.

Main Methods:

  • Review of comparative trials evaluating PT versus surgical tracheostomy.
  • Analysis of developments in PT techniques, including percutaneous dilatation under bronchoscopic guidance.
  • Examination of the role of PT in managing critically ill, mechanically ventilated patients.

Main Results:

  • Percutaneous tracheostomy (PT) is increasingly favored globally, especially percutaneous dilatation techniques under bronchoscopic control.
  • PT is considered the technique of choice for tracheostomy in many critically ill patients requiring mechanical ventilation.
  • While tracheostomy should be timely, a validated model for predicting prolonged mechanical ventilation is lacking, necessitating individualized timing.

Conclusions:

  • Percutaneous tracheostomy (PT) is a highly accepted and often preferred method for airway management in prolonged mechanical ventilation.
  • Ongoing advancements in PT techniques continue to enhance its safety and efficacy in critically ill patients.
  • Individualized assessment is crucial for determining the optimal timing of tracheostomy.