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Related Concept Videos

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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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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Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

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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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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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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...
3.1K
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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Related Experiment Video

Updated: Apr 28, 2026

The Rigid Tube as an Alternative in Controlling the Problematic Airway
08:26

The Rigid Tube as an Alternative in Controlling the Problematic Airway

Published on: June 6, 2020

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Tracheostomy tubes.

Dean R Hess1, Neila P Altobelli2

  • 1Respiratory Care Department, Massachusetts General Hospital, Boston, Massachusetts.Department of Anesthesia, Harvard Medical School, Boston, Massachusetts. dhess@partners.org.

Respiratory Care
|June 4, 2014
PubMed
Summary
This summary is machine-generated.

Understanding tracheostomy tube variations is crucial for patient care. Proper selection and management ensure optimal airway patency, ventilation, and airway clearance.

Keywords:
airway managementdecannulationfenestrated tracheostomy tubeinner cannulaspeaking valvetracheostomy buttontracheostomy teamtracheostomy tube

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Area of Science:

  • Pulmonology
  • Medical Devices
  • Surgical Technology

Background:

  • Tracheostomy tubes are essential for airway management, ventilation, and secretion clearance.
  • Variations in tube dimensions and features exist across manufacturers, often overlooked but clinically significant.
  • Patient-specific selection of tracheostomy tubes is vital for effective care.

Purpose of the Study:

  • To highlight the importance of understanding tracheostomy tube design nuances.
  • To emphasize the clinical implications of dimensional differences between tubes.
  • To guide clinicians in selecting appropriate tracheostomy tubes for patients.

Main Methods:

  • Review of tracheostomy tube designs, including dimensions (inner/outer diameter, length, curvature), cuff status (cuffed/uncuffed), fenestration, and inner cannulas.
  • Discussion of clinical considerations for tube selection and management.
  • Exploration of techniques to facilitate speech in patients with tracheostomies.

Main Results:

  • Tracheostomy tube dimensions vary significantly between manufacturers, even for tubes with the same inner diameter.
  • Cuffed, uncuffed, fenestrated, and inner cannula designs offer different functional characteristics.
  • Speech facilitation methods include speaking valves and specialized tracheostomy tubes.

Conclusions:

  • Clinicians must appreciate the subtle differences in tracheostomy tube designs for optimal patient fitting and care.
  • The optimal frequency for changing chronic tracheostomy tubes remains a subject of debate.
  • Specialized teams and appropriate tube selection can enhance patient outcomes and facilitate communication.