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Related Concept Videos

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 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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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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Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

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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...
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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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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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Conventional Tracheostomy Versus Percutaneous Tracheostomy: A Retrospective Study.

Praveen Kumar Thakur1, Anil Kumar Jain1, Tahir Ali Khan2

  • 11Department of ENT, Chirayu Medical College and Hospital, Bhopal, M.P 462030 India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|November 20, 2019
PubMed
Summary

Conventional tracheostomy (CT) showed less blood loss and shorter operation times compared to percutaneous tracheostomy (PcT). However, neither technique presented significant differences in complications, highlighting the importance of surgical skill.

Keywords:
Conventional tracheostomyCritical careICUIntensive care unitPercutaneous tracheostomyTracheostomy

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Area of Science:

  • Critical Care Medicine
  • Surgical Procedures

Background:

  • Emergency tracheostomy is a critical, life-saving procedure.
  • Advances in critical care have improved survival rates for critically ill patients.
  • Elective tracheostomy is indicated for prolonged positive pressure ventilation.

Purpose of the Study:

  • To compare conventional tracheostomy (CT) with percutaneous tracheostomy (PcT).
  • To identify the tracheostomy technique with a lower incidence of life-threatening events.

Main Methods:

  • Retrospective comparative study.
  • Inclusion of 30 patients meeting specific criteria.
  • Data collection from a tertiary care medical college setting.

Main Results:

  • 15 patients underwent CT, and 15 underwent PcT.
  • Conventional tracheostomy demonstrated reduced blood loss and mean operation time compared to percutaneous tracheostomy.
  • No complications were reported for either CT or PcT in this study.

Conclusions:

  • Conventional tracheostomy was associated with less blood loss and shorter operative times.
  • Statistical analysis did not reveal significant differences in complications between the two methods.
  • The skill and experience of the practitioner are paramount in selecting the appropriate tracheostomy technique.