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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 Care II: Procedure01:25

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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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Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

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Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
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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 Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

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Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
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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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Percutaneous Dilational Tracheostomy.

Andrew D Lerner1, Lonny Yarmus1

  • 1Department of Pulmonary and Critical Care Medicine, Johns Hopkins University, 1800 Orleans Street, Suite 7-125, Baltimore, MD 21287, USA.

Clinics in Chest Medicine
|February 14, 2018
PubMed
Summary
This summary is machine-generated.

Percutaneous dilational tracheostomy (PDT) is a safe procedure for airway management when performed by experienced teams. Careful postoperative care is essential to prevent complications, especially during early tube changes.

Keywords:
Chronic respiratory failureCritical illnessPercutaneous dilational tracheostomy

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Area of Science:

  • Medical procedures
  • Pulmonology
  • Critical care medicine

Background:

  • Tracheostomy is a crucial intervention for managing upper airway obstruction and facilitating prolonged mechanical ventilation.
  • Percutaneous dilational tracheostomy (PDT) offers an alternative to surgical tracheostomy for airway access.

Purpose of the Study:

  • To outline the multidisciplinary approach to percutaneous dilational tracheostomy (PDT) preparation, performance, and postoperative management.
  • To highlight the safety profile and potential complications associated with PDT.

Main Methods:

  • Review of preparation, procedural techniques, and postoperative care protocols for PDT.
  • Emphasis on the role of a multidisciplinary team in optimizing patient outcomes.
  • Discussion of potential early and late complications, including risks during stomal tract maturation.

Main Results:

  • PDT is generally a safe procedure when executed by experienced healthcare professionals.
  • Potential for both early and late complications exists, necessitating vigilant monitoring.
  • Early tracheostomy tube exchange carries a risk of airway loss due to immature stomal tract.

Conclusions:

  • Effective management of PDT relies on a coordinated, multidisciplinary team approach.
  • Awareness and mitigation of potential complications are critical for patient safety.
  • Special caution is required during the initial phase of stomal tract healing to prevent airway compromise.