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Related Concept Videos

Pneumothorax-I01:26

Pneumothorax-I

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A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
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Pneumothorax-II01:27

Pneumothorax-II

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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
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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: 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 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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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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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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Tension Pneumothorax After Percutaneous Tracheostomy.

Sarina Matsumura1, Naotaka Kishimoto1, Tomio Iseki2

  • 1Department of Anesthesiology, Osaka Dental University, Osaka, Japan.

Anesthesia Progress
|June 13, 2017
PubMed
Summary

Tracheostomy complications can arise unexpectedly, even with precautions. This case highlights a rare tracheal-esophageal perforation and subsequent pneumothorax during a percutaneous procedure.

Keywords:
Mediastinal emphysemaPercutaneous tracheostomySubcutaneous emphysemaTension pneumothorax

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Area of Science:

  • Anesthesiology
  • Thoracic Surgery
  • Surgical Complications

Background:

  • Percutaneous tracheostomy is a common procedure for airway management.
  • Patient underwent percutaneous tracheostomy for gingival cancer surgery under intravenous sedation.

Observation:

  • Bucking occurred during dilator insertion despite lidocaine, followed by absence of capnographic waveforms.
  • A tracheal-esophageal perforation was identified, necessitating thoracic surgery consultation.

Findings:

  • The perforation extended from the posterior trachea to the anterior esophagus.
  • A right pneumothorax developed, suspected to be from mediastinal emphysema secondary to tracheal injury.

Implications:

  • This case underscores the importance of vigilance for rare complications during percutaneous tracheostomy.
  • Prompt recognition and multidisciplinary management are crucial for patient safety in such events.