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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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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 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 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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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 Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

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Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
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Updated: Mar 19, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
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Guidelines for Elective Pediatric Fiberoptic Intubation

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Pediatric tracheostomy.

Paolo Campisi1, Vito Forte1

  • 1Department of Otolaryngology-Head & Neck Surgery, The Hospital for Sick Children, University of Toronto, 555 University Ave, Toronto, Ontario, Canada M5G 1×8.

Seminars in Pediatric Surgery
|June 16, 2016
PubMed
Summary
This summary is machine-generated.

Pediatric tracheostomy, a procedure to create an airway, is uncommon but essential for prolonged ventilation in neurologically impaired children. This review covers surgical techniques, tube selection, and post-operative care for infants and young children.

Keywords:
ComplicationPediatric indicationPost-operative careTechniqueTracheostomy

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Area of Science:

  • Pediatric Surgery
  • Otolaryngology
  • Respiratory Medicine

Background:

  • Tracheostomy is a surgical procedure to create an airway, uncommon in children.
  • Indications have shifted from acute infections to prolonged ventilation needs in neurologically compromised children.
  • Requires specialized techniques for infants and young children.

Purpose of the Study:

  • To comprehensively review pediatric tracheostomy.
  • To discuss surgical techniques, tube choices, and post-operative care.
  • To highlight the evolving indications for the procedure.

Main Methods:

  • Literature review of pediatric tracheostomy techniques and outcomes.
  • Analysis of historical shifts in indications for the procedure.
  • Discussion of specialized considerations for infants and young children.

Main Results:

  • Pediatric tracheostomy is increasingly performed for prolonged ventilatory support.
  • Surgical approaches vary based on airway stability (general vs. local anesthesia).
  • Careful selection of tracheostomy tubes and tailored post-operative management are crucial.

Conclusions:

  • Pediatric tracheostomy requires a nuanced approach due to anatomical and physiological differences.
  • The shift in indications necessitates updated surgical and care strategies.
  • This review provides a comprehensive guide for managing pediatric tracheostomy.