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Related Concept Videos

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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Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

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Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
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Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

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Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
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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 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...
2.9K
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...
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Related Experiment Video

Updated: Apr 29, 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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Predictors for postoperative complications after tracheal resection.

Benoit Jacques Bibas1, Ricardo Mingarini Terra1, Antonio Lopes Oliveira Junior1

  • 1Thoracic Surgery Department, Heart Institute (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.

The Annals of Thoracic Surgery
|May 14, 2014
PubMed
Summary

Tracheal resection and anastomosis is a standard treatment for tracheal stenosis. Complications like restenosis are common, with comorbidities and previous resections predicting adverse outcomes.

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Area of Science:

  • Thoracic Surgery
  • Respiratory Medicine
  • Surgical Oncology

Background:

  • Tracheal resection and anastomosis is the established treatment for tracheal stenosis.
  • Evaluating complications and predicting factors is crucial for improving patient outcomes.

Purpose of the Study:

  • To assess complications following tracheal resection for benign stenosis.
  • To identify factors that predict these complications.

Main Methods:

  • Retrospective study of 94 patients with benign tracheal or laryngotracheal stenosis (2002-2009).
  • Analysis of anastomotic and non-anastomotic complications.
  • Univariate and multivariate logistic regression used to determine predicting factors.

Main Results:

  • 44.6% of patients experienced complications, with restenosis (16%) being most common.
  • Clinical comorbidities, prior tracheal resection, and resection length >4 cm were significant predictors.
  • Previous tracheal resection was highly associated with anastomotic complications (OR 49.965).

Conclusions:

  • Comorbidities, prior tracheal resection, and resection length >4 cm are significant risk factors for complications.
  • These factors aid in identifying high-risk patients for tracheal resection surgery.