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Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

4.3K
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

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:
1.6K
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...
2.1K
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

2.0K
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...
2.0K
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

7.3K
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...
7.3K
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

2.8K
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 6, 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

Published on: April 1, 2019

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Tracheostomy Update: When and How.

Bradley D Freeman1

  • 1Department of Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Box 8109, St Louis, MO 63110, USA.

Critical Care Clinics
|March 13, 2017
PubMed
Summary
This summary is machine-generated.

Tracheostomy, a common procedure for acute respiratory failure, offers benefits like reduced sedation and improved patient comfort compared to translaryngeal intubation. Percutaneous dilational tracheostomy is often preferred due to cost and safety.

Keywords:
Acute respiratory failureCritical illnessIntensive care unitsPercutaneous dilational tracheostomyPractice variationTracheostomy

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Area of Science:

  • Critical Care Medicine
  • Surgical Procedures
  • Respiratory Support

Background:

  • Tracheostomy is a frequent surgical intervention for acute respiratory failure.
  • Research on tracheostomy primarily addresses its timing and technique.
  • Existing trials have not shown significant benefits of tracheostomy timing on key clinical outcomes.

Purpose of the Study:

  • To review the current evidence on tracheostomy timing and technique.
  • To compare tracheostomy with translaryngeal intubation regarding sedation and patient comfort.
  • To evaluate the advantages of percutaneous dilational tracheostomy.

Main Methods:

  • Literature review of recent trials and evidence.
  • Comparative analysis of tracheostomy versus translaryngeal intubation.
  • Assessment of percutaneous dilational tracheostomy outcomes.

Main Results:

  • Tracheostomy timing has not demonstrated a significant effect on most clinical endpoints.
  • Tracheostomy is associated with reduced sedation needs and enhanced patient comfort compared to translaryngeal intubation.
  • Percutaneous dilational tracheostomy presents advantages in cost and complication rates.

Conclusions:

  • Tracheostomy timing may not be as critical as previously thought.
  • Tracheostomy offers patient comfort and sedation benefits over translaryngeal intubation.
  • Percutaneous dilational tracheostomy should be considered the preferred method for suitable patients due to its favorable profile.