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Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

4.0K
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...
4.0K
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

1.8K
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...
1.8K
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

7.0K
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...
7.0K
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

1.5K
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:
1.5K
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

675
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
675
Trachea01:22

Trachea

5.4K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
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Related Experiment Video

Updated: Feb 26, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
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Percutaneous Tracheostomy under Bronchoscopic Visualization Does Not Affect Short-Term or Long-Term Complications.

Thomas S Easterday, Joshua W Moore, Meredith H Redden

    The American Surgeon
    |July 26, 2017
    PubMed
    Summary
    This summary is machine-generated.

    Bronchoscopic guidance during percutaneous tracheostomy (PT) in trauma patients did not significantly reduce complication rates. This study suggests the use of bronchoscopy during PT should be at the physician

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    Area of Science:

    • Critical Care Medicine
    • Surgical Procedures
    • Trauma Surgery

    Background:

    • Percutaneous tracheostomy (PT) is a common bedside procedure for critically ill patients.
    • Bronchoscopic guidance during PT is advocated by some to minimize complications.
    • Evidence comparing complication rates with and without bronchoscopy in trauma patients is limited.

    Purpose of the Study:

    • To evaluate the complication rates of PT in trauma patients performed with and without bronchoscopic guidance.
    • To determine if bronchoscopic assistance impacts the safety and efficacy of PT in this population.

    Main Methods:

    • Retrospective review of trauma registry data from a Level I Trauma Center.
    • Analysis of 649 critically ill trauma patients undergoing modified PT between January 2007 and April 2016.
    • Comparison of complication rates between patients who received bronchoscopic guidance (n=289) and those who did not (n=360).

    Main Results:

    • No statistically significant differences in any complication type were observed between the bronchoscopy-assisted and non-assisted PT groups.
    • A total of 649 patients underwent PT, with 289 utilizing bronchoscopy and 360 not.
    • Complication rates were comparable regardless of the use of a bronchoscope.

    Conclusions:

    • The addition of bronchoscopy during PT offers theoretical benefits but did not demonstrate a statistically significant reduction in complications in this trauma cohort.
    • The decision to use a bronchoscope during percutaneous tracheostomy should be at the discretion of the performing physician based on individual patient factors and clinical judgment.