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Related Concept Videos

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 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 Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

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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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Oxygen Delivering System III: Tracheostomy and T-piece01:23

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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 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...
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Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

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Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
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Related Experiment Video

Updated: Feb 25, 2026

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
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TRACHEOSTOMY COMPLICATIONS AND THEIR MANAGEMENT.

A K Mehta1, P C Chamyal2

  • 1Classified specialist (ENT) & President SMB, Military Hospital Bhopal, Lucknow.

Medical Journal, Armed Forces India
|August 5, 2017
PubMed
Summary

Tracheostomy, a long-established procedure, still has a high complication rate of 48%. This paper focuses on managing and preventing these frequent tracheostomy complications.

Keywords:
ComplicationsTracheostomy

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Area of Science:

  • Medical Procedures
  • Surgical Complications
  • Respiratory Management

Background:

  • Tracheostomy, originating from Greek terms for 'cutting the trachea,' has a history spanning approximately 3500 years.
  • The procedure has seen significant evolution in techniques, equipment, and patient selection criteria over time.
  • Despite its common use, tracheostomy is associated with a substantial rate of complications.

Purpose of the Study:

  • To comprehensively review the complications associated with tracheostomy.
  • To provide detailed insights into the management strategies for these complications.
  • To emphasize preventive measures to reduce the incidence of tracheostomy-related adverse events.

Main Methods:

  • Literature review of tracheostomy procedures and outcomes.
  • Analysis of complication rates from existing series.
  • Discussion of established and novel management and prevention techniques.

Main Results:

  • The study highlights that complication rates for tracheostomy remain high, with a reported rate of 48% in the series discussed.
  • This complication rate is consistent with findings from other comparable studies.
  • A significant portion of patients undergoing tracheostomy experience adverse events.

Conclusions:

  • Effective management and prevention strategies are crucial for improving patient outcomes after tracheostomy.
  • Addressing the high complication rate requires a thorough understanding of potential risks.
  • Continued research and refinement of techniques are needed to minimize tracheostomy morbidity.