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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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Endotracheal Intubation I: Procedure01:15

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Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
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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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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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Trachea01:22

Trachea

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The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
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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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Related Experiment Video

Updated: Jan 3, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
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Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

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Nonintubated Tracheal Surgery.

Andrey Akopov1, Mikhail Kovalev1

  • 16/8 L/Tolstoy Street, Saint-Petersburg 197022, Russia.

Thoracic Surgery Clinics
|November 26, 2019
PubMed
Summary

This study presents a novel nonintubated anesthetic technique for cervical trachea resection. It utilizes airway stenting and a supraglottic airway device with jet ventilation for improved surgical conditions and patient care.

Area of Science:

  • Anesthesiology
  • Thoracic Surgery
  • Airway Management

Background:

  • Benign cervical tracheal stenosis often requires surgical resection.
  • Traditional endotracheal intubation can complicate tracheal surgery.
  • Alternative airway management strategies are needed for nonintubated tracheal resection.

Purpose of the Study:

  • To describe an innovative anesthetic management strategy for cervical trachea resection.
  • To detail a technique avoiding endotracheal intubation during this procedure.

Main Methods:

  • Insertion of an airway stent in the stenotic tracheal segment.
  • Placement of a supraglottic airway device (SGAD).
  • Advancement of a jet ventilation catheter through the SGAD for ventilation.
Keywords:
Benign tracheal stenosisNonintubatedStentingSupraglottic airway deviceTracheal resection

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Main Results:

  • Successful nonintubated anesthetic management for cervical trachea resection.
  • Facilitated comfortable surgical access for the operating surgeon.
  • Enabled effective maintenance of patient vital functions by the anesthesiologist.

Conclusions:

  • This nonintubated technique provides a viable alternative for cervical trachea resection.
  • The described strategy enhances surgical comfort and optimizes patient monitoring.
  • It represents a significant advancement in managing benign tracheal stenosis.