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Related Concept Videos

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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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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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.
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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Mechanical Ventilation I: Indication and Settings01:29

Mechanical Ventilation I: Indication and Settings

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Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
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Ventilatory Modes01:14

Ventilatory Modes

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Mechanical ventilators are life-saving devices that support or replace spontaneous breathing. They deliver breaths to patients through varying methods known as ventilator modes. Understanding these modes is critical for healthcare providers managing patients with respiratory failure.
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Related Experiment Video

Updated: Mar 16, 2026

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device
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Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device

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Right Ventricular Assist Device Configuration for Remote Decannulation.

Vakhtang Tchantchaleishvili1, Fabio Sagebin, Howard Todd Massey

  • 1From the Division of Cardiac Surgery, University of Rochester Medical Center, Rochester, NY USA.

Innovations (Philadelphia, Pa.)
|August 16, 2016
PubMed
Summary

Patients undergoing left ventricular assist device implantation face right ventricular failure risks. A novel, less invasive right ventricular assist device removal technique without sternotomy is presented for severe cases.

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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Mechanical Circulatory Support

Background:

  • Left ventricular assist device (LVAD) implantation carries a risk of right ventricular failure (RVF) due to preoperative factors, intraoperative fluid shifts, and transfusions.
  • Severe RVF may necessitate a right ventricular assist device (RVAD), despite medical management with inotropes and pulmonary vasodilators.

Purpose of the Study:

  • To present a specific configuration for implanting RVADs that facilitates less invasive removal.
  • To describe a method for RVAD implantation that avoids the need for sternotomy during explantation.

Main Methods:

  • The study details a specific surgical configuration for RVAD implantation.
  • This configuration is designed to enable removal of the RVAD without requiring a sternotomy.

Main Results:

  • The presented RVAD implantation configuration has been utilized for several years.
  • This approach allows for less invasive removal of the RVAD.

Conclusions:

  • The described RVAD implantation technique offers a less invasive explantation option.
  • This method is suitable for patients requiring RVAD support following LVAD implantation, particularly in severe RVF cases.