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Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

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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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Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

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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 Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

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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.
Required Equipment
The equipment necessary for tracheostomy care includes:
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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...
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Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

3.7K
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...
3.7K
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

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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...
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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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Pediatric tracheotomy: indications and decannulation outcomes.

Jamie L Funamura1, Blythe Durbin-Johnson, Travis T Tollefson

  • 1Department of Otolaryngology, UC Davis School of Medicine, Sacramento, California, U.S.A.

The Laryngoscope
|January 17, 2014
PubMed
Summary

Pediatric tracheotomy decannulation rates vary by indication. Trauma patients showed faster decannulation times and higher rates compared to cardiopulmonary and neurological cases. This highlights differences in pediatric airway management outcomes.

Keywords:
Pediatric tracheotomydecannulationtracheostomyupper airway obstruction

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Area of Science:

  • Pediatric Otolaryngology
  • Pediatric Surgery
  • Critical Care Medicine

Background:

  • Tracheotomy is a common procedure in pediatric critical care.
  • Indications for tracheotomy in children are diverse, impacting management and outcomes.
  • Understanding decannulation factors is crucial for optimizing patient care.

Purpose of the Study:

  • To investigate differences in decannulation rates and duration of tracheotomy.
  • To compare outcomes based on the primary indication for tracheotomy in pediatric patients.

Main Methods:

  • Retrospective chart review of pediatric patients (0-18 years) undergoing tracheotomy.
  • Categorization of tracheotomy indications into neurological, cardiopulmonary, upper airway obstruction, craniofacial anomalies, and trauma.
  • Analysis of decannulation rates and time to decannulation.

Main Results:

  • Of 113 patients, 32 (31.9%) were decannulated.
  • Trauma patients had significantly shorter times to decannulation compared to cardiopulmonary and neurological indications.
  • Decannulation rates were highest in trauma (72.7%) and lowest in upper airway obstruction (36.4%).

Conclusions:

  • Pediatric tracheotomy decannulation outcomes differ significantly based on indication.
  • Maxillofacial and laryngotracheal trauma is associated with better decannulation rates and shorter duration.
  • These findings inform prognostication and management strategies for pediatric tracheotomy.