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Related Concept Videos

Trachea01:22

Trachea

6.1K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
6.1K
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

936
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
936
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

5.7K
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...
5.7K
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

3.0K
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...
3.0K
Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

13.7K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
13.7K
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

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Related Experiment Video

Updated: Apr 24, 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

Published on: March 15, 2024

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Early tracheotomy for acute severe asthma.

Huan Huang1, Xin-Hui Xu1, Yi Chen1

  • 1Department of Emergency and Critical Care, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200127, China.

World Journal of Emergency Medicine
|September 13, 2014
PubMed
Summary

Early tracheotomy can be a life-saving procedure for severe asthma patients experiencing respiratory failure. This intervention effectively reduced airway resistance and corrected critical blood gas abnormalities in two cases.

Keywords:
Acute severe asthmaEarly tracheotomyExtubationMechanical ventilationWork of breathing

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Area of Science:

  • Pulmonology
  • Critical Care Medicine
  • Surgical Interventions

Background:

  • Acute severe asthma poses significant management challenges.
  • Limited research exists on the role of early tracheotomy in severe asthma exacerbations.
  • Conventional therapies may fail in critically ill asthma patients.

Observation:

  • Two patients with acute severe asthma presented with hypercapnia and acidosis unresponsive to standard treatments.
  • Mechanical ventilation was initiated for respiratory support.
  • Early tracheotomy was performed following mechanical ventilation.

Findings:

  • Early tracheotomy significantly decreased airway resistance and work of breathing.
  • The procedure rapidly corrected hypercapnia and severe acidosis.
  • Adequate gas exchange was maintained post-tracheotomy, facilitating successful weaning from mechanical ventilation.

Implications:

  • Early tracheotomy may represent a valuable therapeutic option for select patients with severe, refractory asthma.
  • This approach could improve outcomes and reduce the duration of mechanical ventilation in severe asthma.
  • Further research is warranted to establish definitive guidelines for early tracheotomy in acute severe asthma.