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Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

2.4K
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: 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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Epistaxis01:30

Epistaxis

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Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
711
Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

3.1K
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...
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: Mar 24, 2026

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

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[Postoperative bleeding in tracheal surgery].

V D Parshin1, Yu V Belov2, M A Rusakov1

  • 1I.M. Sechenov First Moscow State Medical University, Health Ministry of the Russian Federation, Moscow.

Khirurgiia
|March 16, 2016
PubMed
Summary
This summary is machine-generated.

Vascular complications, particularly bleeding from great vessels, are a major cause of death after tracheal surgery. Preventing intraoperative bleeding through careful vessel management is crucial for improving patient outcomes.

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Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
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Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Vascular Surgery

Context:

  • Tracheal surgery, while safer, still carries risks of life-threatening vascular complications.
  • Arrosive bleeding from great vessels is a significant cause of mortality post-tracheal surgery.

Purpose:

  • To analyze the incidence and outcomes of vascular complications, specifically bleeding, following tracheal surgery.
  • To identify the primary causes of death related to vascular complications in tracheal surgery patients.

Summary:

  • A 50-year study of 867 patients with cicatrical tracheal stenosis revealed bleeding as the main cause of death.
  • Vascular complications, including carotid artery and brachiocephalic trunk bleeding, led to high mortality, with 22 of 31 bleeding patients dying.
  • Preventing intraoperative bleeding by isolating vessels from the tracheal anastomosis and tracheostomy site is essential, as management of these complications has unsatisfactory results.

Impact:

  • Highlights the critical need for meticulous surgical technique to prevent vascular complications during tracheal surgery.
  • Emphasizes that early prevention and careful management of great vessel bleeding are paramount for reducing mortality in tracheal surgery.
  • Suggests that complex vascular reconstructions may be necessary for definitive bleeding control, but prevention remains the most effective strategy.