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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

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:
1.1K
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

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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...
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Guidelines for Elective Pediatric Fiberoptic Intubation
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Pediatric Tracheostomy Decannulation: 11-Year Experience.

Kristen L Seligman1, Bryan J Liming2, Richard J H Smith1

  • 11 Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, Iowa, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|April 17, 2019
PubMed
Summary
This summary is machine-generated.

A published pediatric tracheostomy decannulation protocol demonstrated a 15% failure rate in a case series. This protocol utilizes pulse oximetry and capping trials for safe and effective decannulation in young children.

Keywords:
decannulation protocolpediatric tracheostomytracheostomy decannulation

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Area of Science:

  • Pediatric Otolaryngology
  • Respiratory Medicine
  • Surgical Outcomes

Background:

  • Tracheostomy is a common procedure in pediatric patients.
  • Decannulation protocols aim to standardize the process and improve success rates.
  • Evaluating existing protocols is crucial for optimizing patient care.

Purpose of the Study:

  • To assess the success rate of a specific pediatric tracheostomy decannulation protocol.
  • To identify factors influencing decannulation outcomes in children.

Main Methods:

  • Retrospective case series with chart review.
  • Inclusion of pediatric patients (≤5 years) who underwent tracheostomy and attempted decannulation.
  • Data collection on demographics, indications, comorbidities, and complications.

Main Results:

  • Twenty-six protocol-based decannulations were performed in 23 patients.
  • Twenty-two decannulations were successful, resulting in a 15% failure rate.
  • This failure rate aligns with previously published decannulation protocols.

Conclusions:

  • The published pediatric tracheostomy decannulation protocol achieved a 15% failure rate.
  • The protocol's use of pulse oximetry and capping trials is effective for pediatric patients.
  • This approach balances resource utilization with patient safety and successful outcomes.