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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 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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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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Sustainable Development01:43

Sustainable Development

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As the human population continues to grow and use resources, we must be mindful of our planet’s natural limits. Sustainable development provides a pathway to maintain and improve human life now while also ensuring that future generations will have the resources that they need. The long-term success of sustainability efforts rests on understanding the interplay between human actions and ecological systems.
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Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

1.2K
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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Best Current Practice for Obtaining High Quality EEG Data During Simultaneous fMRI
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Paediatric tracheostomy tubes: recent developments and our current practice.

D J Tweedie1, J Cooke2, K A Stephenson2

  • 1Department of Paediatric Otolaryngology,Evelina London Children's Hospital,Guy's and St Thomas' NHS Foundation Trust,London,UK.

The Journal of Laryngology and Otology
|November 6, 2018
PubMed
Summary
This summary is machine-generated.

This review examines paediatric tracheostomy tubes used at two major children's hospitals. While a select range is preferred, specific patient needs dictate the choice of airway management devices.

Keywords:
NewbornChildInfantTracheostomy

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Area of Science:

  • Pediatric Otolaryngology
  • Respiratory Medicine
  • Biomedical Engineering

Background:

  • A wide array of paediatric tracheostomy tubes exist.
  • Current clinical practice at Great Ormond Street Hospital for Children and Evelina London Children's Hospital is reviewed.

Purpose of the Study:

  • To review available paediatric tracheostomy tubes.
  • To outline current preferences and indications for specific tubes, speaking valves, and attachments.

Main Methods:

  • Review of tracheostomy tubes in current use.
  • Analysis of indications for different tube types and accessories.

Main Results:

  • Significant design evolution in preferred tracheostomy tubes.
  • Reported experience with specialized tubes for particular circumstances.
  • Inclusion of an updated paediatric tracheostomy tube sizing chart.

Conclusions:

  • Paediatric tracheostomy tube selection is primarily driven by individual patient clinical needs.
  • A limited range of tubes are favored for most patients, but alternative options are necessary in specific situations.