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Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

5.8K
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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Tracheostomy Decannulation01:21

Tracheostomy Decannulation

3.1K
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...
3.1K
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

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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...
9.5K
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

2.2K
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:
2.2K
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

2.9K
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...
2.9K
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

3.7K
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,...
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Related Experiment Video

Updated: May 4, 2026

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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Tracheostomy in stroke patients.

Julian Bösel1

  • 1Department of Neurology, University of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany, julian.boesel@med.uni-heidelberg.de.

Current Treatment Options in Neurology
|December 21, 2013
PubMed
Summary
This summary is machine-generated.

Early tracheostomy in severe stroke patients requiring mechanical ventilation is feasible and safe. Assessing the need for prolonged ventilation around the first week of intensive care may guide timely tracheostomy decisions.

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

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

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Area of Science:

  • Neurology
  • Critical Care Medicine
  • Otolaryngology

Background:

  • Severe ischemic and hemorrhagic stroke patients may require tracheostomy due to severe dysphagia or prolonged mechanical ventilation.
  • Indications for tracheostomy include long-term ventilation and insufficient airway protection in critically ill stroke patients.
  • Potential benefits of early tracheostomy, such as reduced ventilation duration and improved patient comfort, are suggested in non-neurologic critical care populations.

Purpose of the Study:

  • To investigate the optimal timing and benefits of tracheostomy in severe stroke patients.
  • To evaluate the feasibility, safety, and impact of early tracheostomy on outcomes in ventilated stroke patients.
  • To compare bedside percutaneous dilational tracheostomy with surgical tracheostomy in this patient group.

Main Methods:

  • A review of current literature and clinical practice regarding tracheostomy in stroke patients.
  • Analysis of a pilot randomized trial involving 60 ventilated stroke patients undergoing early tracheostomy.
  • Discussion of procedural techniques, favoring bedside percutaneous dilational tracheostomy.

Main Results:

  • Early tracheostomy in ventilated stroke patients demonstrated feasibility, safety, and reduced sedation requirements.
  • Bedside percutaneous dilational tracheostomy is preferred over surgical tracheostomy due to reported advantages.
  • Early tracheostomy does not appear to worsen the clinical course of ventilated stroke patients.

Conclusions:

  • Assessing the need for ventilation by the end of the first intensive care week and proceeding with tracheostomy if extubation is not feasible is a reasonable approach.
  • Further research is needed to reliably predict prolonged ventilation needs and the specific benefits of early tracheostomy in stroke patients.
  • Decannulation requires confirmation of adequate swallowing ability, often assessed via endoscopy.