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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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Lattice Centering and Coordination Number02:33

Lattice Centering and Coordination Number

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The structure of a crystalline solid, whether a metal or not, is best described by considering its simplest repeating unit, which is referred to as its unit cell. The unit cell consists of lattice points that represent the locations of atoms or ions. The entire structure then consists of this unit cell repeating in three dimensions. The three different types of unit cells present in the cubic lattice are illustrated in Figure 1.
Types of Unit Cells
Imagine taking a large number of identical...
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Center of Gravity00:58

Center of Gravity

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The center of gravity (COG) of an object is the point where the object's total weight is considered to be concentrated. Knowing the location of the center of gravity is useful when predicting the behavior of a moving object or designing static structures. In a uniform gravitational field, the center of gravity is similar to the center of mass (COM); yet, these two points can be positioned differently. For example, the Moon's center of mass lies very close to its geometric center, but...
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Pediatric tracheostomy: A large single-center experience.

Jessica Roberts1,2, Jason Powell1,2, Jacob Begbie2

  • 1Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.

The Laryngoscope
|June 29, 2019
PubMed
Summary

Pediatric tracheostomies are often elective for ventilation support in infants. While many children are decannulated, this procedure carries significant risks and potential long-term implications.

Keywords:
Pediatric tracheostomycardiothoracic transplantlong-term ventilationpediatric airway

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Area of Science:

  • Pediatric Surgery
  • Otolaryngology
  • Critical Care Medicine

Background:

  • Pediatric tracheostomies are crucial for airway management in critically ill children.
  • Understanding the epidemiology of these procedures is vital for optimizing patient care.

Purpose of the Study:

  • To describe the indications, complications, and outcomes of pediatric tracheostomies.
  • To analyze the epidemiology of tracheostomies in a tertiary referral center.

Main Methods:

  • Retrospective cohort study of pediatric patients undergoing tracheostomy.
  • Data collected from May 2010 to May 2018 at a UK tertiary referral unit.

Main Results:

  • 172 pediatric tracheostomies were performed, primarily for long-term ventilation (38.4%).
  • Early and late complication rates were 9.8% and 40.0%, respectively.
  • Successful decannulation occurred in 44.4% of patients; all-cause mortality was 22.1%.

Conclusions:

  • Pediatric tracheostomy is typically an elective procedure for ventilated infants, often serving as a long-term intervention.
  • Significant morbidity and a small risk of mortality are associated with pediatric tracheostomies.
  • Despite potential long-term use, a substantial proportion of children are decannulated.