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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

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

2.8K
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...
2.8K
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

9.4K
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...
9.4K
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

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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: Apr 29, 2026

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model
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Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model

Published on: April 1, 2019

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Do trauma stomas ever get reversed?

Laura Godat1, Leslie Kobayashi1, David C Chang1

  • 1University of California, San Diego Health Sciences, San Diego, CA.

Journal of the American College of Surgeons
|May 28, 2014
PubMed
Summary
This summary is machine-generated.

Stoma reversal rates after trauma are higher than expected, with many occurring post-discharge. Lack of insurance and minority race are key barriers to successful stoma reversal in trauma patients.

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Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease
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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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Area of Science:

  • Trauma Surgery
  • Gastrointestinal Surgery
  • Health Services Research

Background:

  • Limited data exists on stoma reversal frequency and timing post-trauma.
  • Barriers to stoma reversal in trauma patients are not well understood.

Purpose of the Study:

  • To determine the rate and timing of stoma reversal in trauma patients.
  • To identify patient-related barriers to stoma reversal.

Main Methods:

  • Analysis of the California Office of Statewide Health Planning and Development database (1995-2010).
  • Inclusion of trauma patients with hollow viscus injury, excluding those with pre-existing stomas or early mortality.
  • Statistical analysis including Kaplan-Meier, logistic regression, and Cox proportional hazard models.

Main Results:

  • Of 3,899 trauma patients with stoma creation, 6.4% were reversed during initial hospitalization.
  • Post-discharge reversal rates were 41% at 6 months, 61% at 1 year, and 72% at 5 years.
  • Lack of insurance and Black/Hispanic race were associated with decreased stoma reversal rates.

Conclusions:

  • Stoma reversal rates in trauma patients are higher than anticipated, potentially due to hospital migration.
  • Health insurance status and race/ethnicity are significant barriers to stoma reversal after initial trauma hospitalization.