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Related Concept Videos

Tracheostomy Care I: Pre-procedural Steps01:16

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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.
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Tracheostomy: Procedure and Tubes01:28

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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.
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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.
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Related Experiment Video

Updated: Apr 28, 2026

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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Changing practice and improving care using a low-risk tracheotomy clinical pathway.

Kristine A Smith1, T Wayne Matthews1, Mirette Dubé2

  • 1Ohlson Research Initiative, Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Calgary, Calgary, Alberta, Canada.

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|June 13, 2014
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Summary

A new tracheotomy clinical pathway significantly reduced decannulation time in low-risk patients. This safe and effective protocol guides clinicians without increasing adverse events, improving patient care.

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Area of Science:

  • Medical Procedures
  • Clinical Pathways
  • Patient Safety

Background:

  • Tracheotomy is common, but prolonged decannulation is linked to complications.
  • Current postoperative care lacks a standardized protocol for decannulation.
  • A low-risk tracheotomy clinical pathway was developed to address this gap.

Purpose of the Study:

  • To evaluate the impact of a novel low-risk tracheotomy clinical pathway on decannulation time.
  • To assess the safety and sustainability of the pathway by monitoring adverse events.

Main Methods:

  • Retrospective and prospective cohorts (July 2008-January 2012) of low-risk adult tracheotomy patients.
  • Development and implementation of a stepwise clinical pathway for decannulation.
  • Comparison of decannulation times and adverse events between baseline, pilot, and follow-up cohorts.

Main Results:

  • Mean decannulation time decreased from 15.50 days (baseline) to 5.74 days (pilot cohort, P < .001).
  • Follow-up cohort showed a sustained reduction in decannulation time to 8.13 days (P = .003).
  • No significant association was found between pathway use and adverse events.

Conclusions:

  • The low-risk tracheotomy clinical pathway effectively and sustainably reduces decannulation time.
  • The pathway is a safe and valuable tool for managing tracheotomy patients.
  • Implementation of this protocol can improve clinical practice and patient outcomes.