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Tracheostomy: Procedure and Tubes

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...

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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.
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Oxygen Delivering System III: Tracheostomy and T-piece

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
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Tracheostomy Decannulation

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.
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Trachea

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:
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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 9, 2026

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

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

Published on: March 15, 2024

Pediatric tracheotomy: a 30-year experience.

Lorraine de Trey¹, Enrique Niedermann, Daniela Ghelfi

¹Department of Otolaryngology, University Children's Hospital Zurich, Switzerland.

Journal of Pediatric Surgery

|July 31, 2013

Summary

Pediatric tracheotomy practices shifted over 30 years, with more procedures for prolonged ventilation. Despite complications, tracheotomy remains a safe and effective option for children.

Keywords:

Long-term follow-up Morbidity Mortality Pediatric tracheostomy Pediatric tracheotomy

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Guidelines for Elective Pediatric Fiberoptic Intubation

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

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Last Updated: May 9, 2026

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

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Published on: March 15, 2024

Guidelines for Elective Pediatric Fiberoptic Intubation

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

Area of Science:

Pediatric Surgery
Otolaryngology
Critical Care Medicine

Background:

Pediatric tracheotomy is a critical intervention for airway management.
Understanding practice evolution is essential for optimizing patient care.

Purpose of the Study:

To analyze trends in pediatric tracheotomy indications and outcomes.
To compare current practices with historical data from 1979-1989.

Main Methods:

Retrospective analysis of 119 pediatric tracheotomies (1990-2009).
Data included indications, comorbidities, age, cannulation duration, and complications.
Comparison with a previous study cohort (1979-1989).

Main Results:

Airway obstruction (70%) and prolonged ventilation (30%) were primary indications.
Most patients (70%) were under one year old.
Complications occurred in 23% of cases, with a <1% mortality rate.
Successful decannulation achieved in 60% of patients.

Conclusions:

A significant shift towards prolonged ventilation as an indication for tracheotomy was observed.
Pediatric tracheotomy demonstrates a trend of decreasing complications over time.
Tracheotomy is a safe and valuable procedure for pediatric airway management.