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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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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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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...
2.0K
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.
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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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

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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Related Experiment Video

Updated: Mar 5, 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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Accidental Decannulation OF TRACHEOSTOMY TUBES - Case Series.

H K Omokanye1, A D Dunmade1, S Segun-Busari1

  • 1Department of Otorhinolaryngology, University of Ilorin Teaching Hospital, Ilorin, Nigeria.

Journal of the West African College of Surgeons
|March 28, 2017
PubMed
Summary

Accidental decannulation of tracheostomy tubes (TT) can be fatal. This review highlights overlooked causes and preventive strategies, including suturing the TT flange to the skin to prevent dislodgement, especially after weight loss.

Keywords:
Accidental decannulationNeck traumaPost thyroidectomyTracheostomy complications

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

  • Medical Devices
  • Patient Safety
  • Respiratory Care

Background:

  • Tracheostomy tubes (TT) are essential for airway management but can be inadvertently removed (accidental decannulation).
  • Accidental decannulation poses a significant risk, potentially leading to fatal outcomes even in stable patients.
  • This complication can occur in both hospitalized settings and among patients receiving home care.

Purpose of the Study:

  • To review unexpected and often-overlooked causes of accidental tracheostomy tube decannulation.
  • To suggest effective preventive measures for accidental decannulation.
  • To report clinical experiences in managing three cases of accidental tracheostomy tube decannulation.

Main Methods:

  • Review of literature on causes and prevention of accidental tracheostomy tube decannulation.
  • Presentation and analysis of three clinical cases of accidental decannulation.
  • Discussion of management strategies and preventive recommendations.

Main Results:

  • Accidental decannulation is a risk for patients with tracheostomy tubes, regardless of care setting.
  • Weight loss leading to reduced neck circumference is identified as a predisposing factor.
  • Suturing the tracheostomy tube flange to the skin is proposed as a preventive measure.

Conclusions:

  • Accidental decannulation is a preventable complication of tracheostomy.
  • Proactive measures, such as securing the tube flange, are crucial for patient safety.
  • Awareness of risk factors like weight loss can guide preventive strategies.