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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:
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...
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 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 12, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

Pediatric tracheotomy: are the indications changing?

Amy Lawrason1, Katherine Kavanagh

  • 1Division of Otolaryngology, University of Connecticut, United States. alawrason@gmail.com

International Journal of Pediatric Otorhinolaryngology
|March 30, 2013
PubMed
Summary

Pediatric tracheotomy indications shifted from prolonged ventilation to upper airway obstruction between 2000 and 2011. This study reviews changing trends in tracheotomy procedures for children.

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Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
10:06

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy

Published on: May 18, 2019

Related Experiment Videos

Last Updated: May 12, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
10:06

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy

Published on: May 18, 2019

Area of Science:

  • Pediatric Otolaryngology
  • Pediatric Surgery
  • Respiratory Medicine

Background:

  • Tracheotomy in children is commonly performed for upper airway obstruction, prolonged ventilator dependence, and neurological impairment.
  • Understanding trends in tracheotomy indications is crucial for resource allocation and patient care.

Purpose of the Study:

  • To review and analyze the indications for tracheotomy in a pediatric patient population over an 11-year period.
  • To identify any significant changes in the primary reasons for performing tracheotomies in children.

Main Methods:

  • A retrospective chart review was conducted on pediatric patients who underwent tracheotomy between January 2000 and April 2011.
  • Patients were categorized into early (2000-2005) and late (2006-2011) groups to assess temporal changes in indications.
  • Data analyzed included patient demographics, pre-operative and post-operative diagnoses, and findings from laryngoscopy and bronchoscopy.

Main Results:

  • A shift in the primary indication for tracheotomy was observed between the two study periods.
  • Fewer patients required tracheotomy for prolonged ventilation in the later period (28%) compared to the earlier period (43%).
  • Upper airway obstruction became a more frequent indication for tracheotomy in the later patient group.

Conclusions:

  • The most common indications for pediatric tracheotomy have evolved over the past decade.
  • There has been a significant decrease in tracheotomies performed for prolonged intubation.
  • An increase in tracheotomies for upper airway obstruction highlights a changing patient profile requiring this procedure.