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Related Concept Videos

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:
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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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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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Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

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Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
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Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy

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Improving Tracheostomy Care in Resource-Limited Settings.

Mykayla L Sandler1, Nohamin Ayele1, Isaie Ncogoza2

  • 1Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, MA, USA.

The Annals of Otology, Rhinology, and Laryngology
|October 22, 2019
PubMed
Summary

Developing image-based tracheostomy care manuals and low-cost kits improved pediatric care skills in resource-limited settings. This educational approach enhanced confidence and technical abilities for nurses and residents, aiming to reduce complications.

Keywords:
equipment and supplieshealth educationpatient carepediatricsresource-limited settingstracheostomy

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Area of Science:

  • Global Health
  • Pediatric Medicine
  • Medical Education

Background:

  • Pediatric tracheostomy care is comprehensive in developed hospitals but challenging in resource-limited settings.
  • Lack of infrastructure and staff education hinders advanced tracheostomy care in underserved regions.

Purpose of the Study:

  • To enhance pediatric tracheostomy care within resource-limited environments.
  • To address the deficit in specialized training and accessible materials for tracheostomy management.

Main Methods:

  • Developed image-based, language-independent tracheostomy education materials and low-cost care kits.
  • Implemented a pilot training program using these materials and a simulated low-fidelity course in Kigali, Rwanda.
  • Included otolaryngologists, respiratory therapists, nurses, illustrators, and global health educators in the development process.

Main Results:

  • Created and published an accessible, image-based tracheostomy care manual on OPENPediatrics.
  • Pilot study participants reported high educational value and increased confidence in performing tracheostomy procedures.
  • The training program demonstrated effectiveness in improving practical skills.

Conclusions:

  • Image-based manuals, local kits, and simulation courses can significantly improve outpatient tracheostomy care.
  • The developed educational tools effectively enhanced technical skills and confidence among healthcare providers.
  • These interventions are expected to improve knowledge, skills, and reduce tracheostomy-related complications in resource-limited settings.