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Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

1.0K
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...
1.0K
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

898
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:
898
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

2.6K
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...
2.6K
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

1.2K
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...
1.2K
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

5.0K
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...
5.0K
Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

1.9K
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
1.9K

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Related Experiment Video

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Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
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Tracheostomy decision making: From placement to decannulation.

Frances Flanagan1, Fiona Healy2

  • 1Division of Pulmonary and Respiratory Diseases, Boston Children's Hospital, 333 Longwood Avenue, Boston, 02115, USA.

Seminars in Fetal & Neonatal Medicine
|November 9, 2019
PubMed
Summary

Pediatric tracheostomies are increasing for complex children, but optimal timing and patient selection remain unclear. Families need clear information on the significant impacts of these procedures and long-term ventilation.

Keywords:
BronchoscopyDecannulationMechanical ventilationPolysomnogramTracheostomy

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Area of Science:

  • Pediatric Otolaryngology
  • Pediatric Pulmonology
  • Pediatric Critical Care

Background:

  • Increasing rates of tracheostomy in medically complex children.
  • Tracheostomies are used for airway obstruction, neuromuscular disorders, and airway clearance.
  • Significant financial and psychosocial impact on families.

Purpose of the Study:

  • To review the current understanding of pediatric tracheostomy.
  • To highlight the uncertainties in optimal timing and patient selection.
  • To emphasize the need for clear communication with families.

Main Methods:

  • Literature review of pediatric tracheostomy indications and outcomes.
  • Analysis of factors influencing tracheostomy placement and decannulation.
  • Discussion of the impact on pediatric patients and families.

Main Results:

  • Pediatric tracheostomy patients face higher morbidity and mortality than adults.
  • Optimal timing for tracheostomy placement and decannulation is not well-defined.
  • Tracheostomies are often a temporary measure, bridging to recovery or other therapies.

Conclusions:

  • Clear communication regarding the benefits and risks of pediatric tracheostomy and mechanical ventilation is crucial.
  • Further research is needed to establish standardized guidelines for timing and patient selection.
  • Decannulation timing remains institution- and physician-dependent.