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Related Concept Videos

Trachea01:22

Trachea

5.3K
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...
5.3K
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

3.8K
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...
3.8K
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

6.8K
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...
6.8K
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

1.7K
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...
1.7K
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

1.4K
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:
1.4K
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

1.8K
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...
1.8K

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Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
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Minimal Invasive Resection of Large Retrosternal Thyroid Goiter

Published on: September 20, 2024

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Complications from tracheal resection for thyroid carcinoma.

Nicola Rotolo1, Maria Cattoni1, Andrea Imperatori1

  • 1Center for Thoracic Surgery, Department of Medicine and Surgery, University of Insubria, Varese, Italy.

Gland Surgery
|November 17, 2017
PubMed
Summary

Thyroid cancer invading the trachea requires surgical resection and reconstruction, which carries risks. While this aggressive surgery offers a good prognosis, managing complications like airway stenosis and bleeding is crucial.

Keywords:
Thyroid cancercomplicationstracheal resection

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Area of Science:

  • Surgical Oncology
  • Thoracic Surgery

Background:

  • Thyroid tumors invading the tracheal wall necessitate aggressive surgical intervention.
  • En bloc resection of the thyroid with the affected tracheal segment offers a good prognosis.

Purpose of the Study:

  • To review and discuss complications associated with thyroidectomy and en bloc tracheal resection.
  • To highlight the importance of patient selection and surgical technique.

Main Methods:

  • Literature search using PubMed.
  • Keywords: "complication of tracheal resection" AND "invasive thyroid cancer".

Main Results:

  • Postoperative complication rates range from 15% to 39%.
  • Postoperative mortality is approximately 1.2%.
  • Common complications include anastomotic dehiscence, airway stenosis, infections, and bleeding. Local recurrence is a late complication.

Conclusions:

  • En bloc resection provides a good prognosis for locally invasive thyroid cancer despite significant morbidity.
  • Careful patient selection and precise surgical techniques for tension-free anastomosis are essential to minimize risks.