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Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

1.6K
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...
1.6K
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

1.7K
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...
1.7K
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

3.6K
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...
3.6K
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

1.9K
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...
1.9K
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

1.3K
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:
1.3K
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

6.5K
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...
6.5K

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Percutaneous Tracheostomy by Physician Intensivists.

Asad Zaman Khan1, Aslam Khan2, Arshad Naseem2

  • 1Department of Critical Care, Queen Elizabeth Hospital, Birmingham, UK.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|March 17, 2018
PubMed
Summary

Percutaneous tracheostomy is a safe procedure in medical intensive care units (ICUs) in developing countries when performed by experienced physician intensivists following established protocols. This study found a low complication rate, demonstrating its safety and efficacy.

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Area of Science:

  • Critical Care Medicine
  • Surgical Procedures
  • Patient Safety

Background:

  • Percutaneous tracheostomy is a common procedure in intensive care units (ICUs).
  • Assessing the safety of this procedure when performed by physician intensivists is crucial, especially in resource-limited settings.

Purpose of the Study:

  • To evaluate the safety and outcomes of percutaneous tracheostomy performed by physician intensivists in a Medical ICU.
  • To identify any immediate complications associated with the procedure.

Main Methods:

  • A descriptive study analyzing departmental records of percutaneous tracheostomies performed between September 2013 and August 2016.
  • Data collected included patient diagnoses, operator qualifications, adherence to protocol, and complication occurrence.

Main Results:

  • Fifty-six procedures were performed, predominantly in patients with neurological illnesses (80%).
  • All operators were experienced physician intensivists.
  • A low complication rate of 5.35% was observed, with no procedure-related deaths.

Conclusions:

  • Percutaneous tracheostomy is a safe procedure when conducted by experienced physician intensivists in Medical ICUs within developing countries.
  • Adherence to defined protocols is key to ensuring patient safety during percutaneous tracheostomy.