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Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

2.1K
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

7.4K
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...
7.4K
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

1.6K
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: 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...
4.3K
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

2.1K
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...
2.1K
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

2.9K
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.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
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Related Experiment Video

Updated: Mar 8, 2026

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
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Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy

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Improving Decannulation and Swallowing Function: A Comprehensive, Multidisciplinary Approach to Post-Tracheostomy

John W Mah1, Ilene I Staff2, Sylvia R Fisher3

  • 1Critical Care, Department of Surgery, Hartford Hospital, University of Connecticut School of Medicine, Hartford, Connecticut. John.Mah@hhchealth.org.

Respiratory Care
|January 22, 2017
PubMed
Summary

Implementing a post-tracheostomy care bundle significantly improved decannulation and oral diet tolerance in patients. This multidisciplinary approach enhances patient outcomes following tracheostomy procedures.

Keywords:
patient care teampostoperative carequality of liferespiratory failurespeech therapytracheostomytracheotomy

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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
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Area of Science:

  • Critical Care Medicine
  • Surgical Outcomes
  • Patient Care Management

Background:

  • Multidisciplinary tracheostomy teams enhance operative outcomes.
  • Limited data exist on the impact of these teams on postoperative care.
  • The study focuses on decannulation and oral diet tolerance post-tracheostomy.

Purpose of the Study:

  • To evaluate the effectiveness of a multidisciplinary tracheostomy service.
  • To assess the impact of a post-tracheostomy care bundle on patient outcomes.
  • To determine improvements in decannulation and oral diet tolerance.

Main Methods:

  • Prospective data collection from January 2011 to December 2013.
  • Comparison of outcomes between baseline, tracheostomy service alone, and tracheostomy service with care bundle groups.
  • Analysis of decannulation rates, oral diet tolerance, and speech evaluations.

Main Results:

  • Significant overall differences in decannulation, oral diet tolerance, and speech evaluations across groups.
  • The post-tracheostomy care bundle significantly improved decannulation (P = .002) and oral diet tolerance (P = .005) compared to baseline.
  • Increased speech-language pathologist consults and decreased time to speech evaluation were observed with the care bundle.

Conclusions:

  • A post-tracheostomy care bundle significantly enhances decannulation rates.
  • The care bundle improves tolerance of oral diet before discharge.
  • Multidisciplinary tracheostomy services combined with care bundles optimize postoperative recovery.