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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

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: 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

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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

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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Reducing Line Loss01:18

Reducing Line Loss

391
In a three-phase circuit, line loss is an indicator of energy dissipated as heat due to the resistance of transmission lines. To address this, incorporating transformers into the system—a step-up transformer at the source and a step-down transformer at the load—is a strategic solution. Two three-phase transformers are introduced to improve this.
With a step-up transformer at the source, the voltage is increased, thereby reducing the current in the transmission lines since power loss in...
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Related Experiment Video

Updated: Feb 1, 2026

Brain Death Induction in Mice Using Intra-Arterial Blood Pressure Monitoring and Ventilation via Tracheostomy
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Brain Death Induction in Mice Using Intra-Arterial Blood Pressure Monitoring and Ventilation via Tracheostomy

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Reducing Tracheostomy-Related Pressure Injuries.

Lois M Dixon1, Susan Mascioli1, Jefferson H Mixell1

  • 1Lois M. Dixon is Wound Ostomy Continence Clinical Leader, Christiana Care Health System, 4755 Ogletown-Stanton Road, Newark, DE 19718 (lodixon@christianacare.org). Susan Mascioli is Director, Nursing Quality and Safety, Christiana Care Health System, Newark, Delaware. Jefferson H. Mixel is Clinical Manager, Department of Respiratory Care, Christiana Care Health System, Newark, Delaware. Tom Gillin is Critical Care Coordinator, Department of Respiratory Care, Christiana Care Health System, Newark, Delaware. Camille N. Upchurch is Physician, Christiana Care Hospitalist Partners, Christiana Care Health System, Newark, Delaware. Kevin M. Bradley is Medical Director of the Trauma Program, Christiana Care Health System, Newark, Delaware.

AACN Advanced Critical Care
|December 8, 2018
PubMed
Summary

A multidisciplinary team reduced tracheostomy-related acquired pressure injuries by 80%. Interventions focused on standardizing care, using improved materials, and educating caregivers to prevent these common patient injuries.

Keywords:
hospital-acquired injuryquality improvementtracheostomytracheotomy

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Area of Science:

  • Medical Interventions
  • Patient Safety
  • Surgical Complications

Background:

  • Tracheostomy insertion and postinsertion care can lead to acquired pressure injuries.
  • Variations in practice contribute to the incidence of these injuries.
  • A standardized approach is needed to mitigate risks.

Purpose of the Study:

  • To establish an interprofessional team to prevent tracheostomy-related acquired pressure injuries.
  • To analyze current practices and identify common causes of pressure injuries.
  • To implement and evaluate standardized care interventions.

Main Methods:

  • Conducted a literature evaluation to identify best practices.
  • Performed a root cause analysis of existing tracheostomy-related pressure injury cases.
  • Implemented standardized care strategies including flexible tracheostomy tubes, optimized suturing techniques, and specific dressing applications (hydrocolloid and foam).

Main Results:

  • Achieved an 80% reduction in tracheostomy-related acquired pressure injuries systemwide.
  • Care standardization and reduced practice variation were key outcomes.
  • Caregiver education improved early identification and intervention for complications.

Conclusions:

  • A standardized, interprofessional approach significantly reduces tracheostomy-related pressure injuries.
  • Optimized materials and caregiver education are crucial for patient safety.
  • The implemented strategies demonstrate a highly effective model for preventing surgical site complications.