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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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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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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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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 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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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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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

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Percutaneous tracheostomy boundaries revisited.

Victor Kizhner1, Bertetti Richard1, Lebovics Robert1

  • 1Department of Otolaryngology, From Mount Sinai St. Luke's and Mount Sinai Roosevelt affiliated with the Icahn School of Medicine at Mount Sinai, New York, NY, United States.

Auris, Nasus, Larynx
|September 14, 2014
PubMed
Summary

Otolaryngologists can safely perform percutaneous tracheostomies (PCTs), even with contraindications. Their anatomical expertise ensures successful PCTs, making them ideal primary providers for this procedure.

Keywords:
Percutaneous tracheostomyTracheostomy

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Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
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Last Updated: Apr 24, 2026

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

  • Otolaryngology
  • Surgical Procedures
  • Patient Safety

Background:

  • Percutaneous tracheostomies (PCTs) are increasingly performed by non-otolaryngologists.
  • Various contraindications (CI) exist for PCTs.
  • The otolaryngologist's role in PCT is under review.

Purpose of the Study:

  • To review the otolaryngologist's role in performing percutaneous tracheostomies (PCTs).
  • To assess the safety and efficacy of PCTs performed by otolaryngologists, especially in the presence of contraindications.

Main Methods:

  • Retrospective chart review of adult PCTs performed between 2011-2012.
  • Utilized the Ciaglia blue-rhino-tracheostomy kit and Shiley's tracheostomy cannulas.
  • Procedures were primarily performed with a consistent anesthesiologist.

Main Results:

  • 60 PCTs were performed on adult patients (ages 18-91) with no conversions to open tracheostomy.
  • PCTs were successfully performed despite various contraindications including bleeding disorders, goiters, cervical rigidity, emergent situations, head and neck cancer, and short necks.
  • Minor complications included one case of wound bleeding and one of pneumomediastinum, both managed locally.

Conclusions:

  • Percutaneous tracheostomy (PCT) is a safe procedure when performed by otolaryngologists.
  • Otolaryngologists can successfully manage PCTs even with relative contraindications, leveraging their anatomical understanding.
  • Tracheal palpation and an experienced anesthesiologist are crucial for successful PCT outcomes.