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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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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

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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...
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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 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 Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

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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.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
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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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Reply to "Inferior Turbinate Outfracture Alone Has Not Been Studied in Randomized Controlled Trials".

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Updated: Mar 25, 2026

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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Mini Tracheostomy for Obstructive Sleep Apnea: An Evidence Based Proposal.

Macario Camacho1, Soroush Zaghi2, Edward T Chang3

  • 1Otolaryngology-Head and Neck Surgery, Tripler Army Medical Center, HI 96859, USA; Stanford Hospital and Clinics, Department of Psychiatry and Behavioral Sciences, Division of Sleep Medicine, Stanford, CA 94063, USA.

International Journal of Otolaryngology
|March 1, 2016
PubMed
Summary

This systematic review found no studies on mini-tracheostomies for obstructive sleep apnea (OSA). While small tracheostomies can relieve airway obstruction short-term, more research is needed for OSA treatment effectiveness.

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Area of Science:

  • Otolaryngology
  • Sleep Medicine
  • Respiratory Medicine

Background:

  • Obstructive sleep apnea (OSA) is a common condition impacting adult health.
  • Tracheostomies are established treatments for severe upper airway obstruction.
  • The potential of mini-tracheostomies for OSA management remains largely unexplored.

Purpose of the Study:

  • To systematically review literature on tracheostomies in adult OSA patients.
  • To evaluate the feasibility of using mini-tracheostomies as an OSA treatment.

Main Methods:

  • A systematic review of nine databases was conducted up to July 21, 2015.
  • Searches focused on tracheostomies (permanent or tube) for OSA and mini-tracheostomies for OSA.
  • Polysomnographic data from relevant studies were analyzed.

Main Results:

  • The general tracheostomy search identified 516 articles, with 18 providing polysomnographic data.
  • No studies specifically evaluated mini-tracheostomies for treating OSA.
  • Mini-tracheostomies (4mm inner cannula) have been used for short-term relief of acute upper airway obstruction, but not for OSA.

Conclusions:

  • Mini-tracheostomies show promise for short-term upper airway obstruction relief.
  • Current evidence is insufficient to support mini-tracheostomies as a treatment for OSA.
  • Further research, including polysomnography, is required to assess the efficacy of mini-tracheostomies in OSA management.