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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

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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 Decannulation01:21

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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

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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 Suctioning II: Procedure01:23

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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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Related Experiment Video

Updated: Mar 9, 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.

Chitra Mehta1, Yatin Mehta1

  • 1Department of Critical Care and Anaesthesiology, Institute of Critical Care and Anesthesiology, Medanta - The Medicity, Gurgaon, Haryana, India.

Annals of Cardiac Anaesthesia
|January 12, 2017
PubMed
Summary
This summary is machine-generated.

Percutaneous dilatational tracheostomy (PDT) is a safe bedside procedure for critically ill patients needing prolonged mechanical ventilation. Experience reduces complications, with bronchoscopy and ultrasound aiding in challenging cases.

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Area of Science:

  • Critical Care Medicine
  • Pulmonology
  • Surgical Procedures

Background:

  • Percutaneous dilatational tracheostomy (PDT) is frequently performed in intensive care units (ICUs).
  • It is often preferred over surgical tracheostomy for prolonged mechanical ventilation.
  • Intensivists can safely perform PDT at the bedside.

Purpose of the Study:

  • To provide an overview of percutaneous dilatational tracheostomy in the ICU.
  • To highlight key components for successful PDT.
  • To discuss procedural adjuncts and patient selection.

Main Methods:

  • Review of current practices and literature regarding PDT in ICUs.
  • Discussion of indications, contraindications, and complications.
  • Emphasis on preoperative workup, patient selection, and post-procedure care.

Main Results:

  • PDT is a safe and effective method for airway management in critically ill patients.
  • Experience is associated with fewer contraindications and complications.
  • Bronchoscopy and ultrasound are valuable adjuncts, particularly with difficult anatomy.

Conclusions:

  • PDT is a vital procedure in ICUs, primarily for patients requiring extended mechanical ventilation.
  • Careful patient selection, preparation, and post-procedure management are crucial for success.
  • Ongoing experience and the use of procedural aids enhance PDT safety and efficacy.