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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 I: Pre-procedural Steps01:16

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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

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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.
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Tracheostomy Suctioning I: Pre-Procedural Steps01:26

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

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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.
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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

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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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Competency-Based Assessment Tool for Pediatric Tracheotomy: International Modified Delphi Consensus.

Evan J Propst1, Nikolaus E Wolter1, Stacey L Ishman2

  • 1Department of Otolaryngology-Head and Neck Surgery, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.

The Laryngoscope
|December 11, 2019
PubMed
Summary
This summary is machine-generated.

A modified Delphi consensus process successfully identified key steps for a competency-based assessment tool in pediatric tracheotomy. This process helps standardize trainee evaluation in this critical surgical procedure.

Keywords:
DelphiObjective Structured Assessment of Technical Skill, OSAT, OSATSTracheostomyassessmenteducationobjective structured assessment of technical skillstracheotomy

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Area of Science:

  • Pediatric Surgery
  • Medical Education
  • Surgical Assessment

Background:

  • Pediatric tracheotomy is a complex procedure requiring standardized evaluation.
  • Existing assessment tools may not adequately capture essential competencies.
  • Developing a reliable assessment is crucial for surgical training.

Purpose of the Study:

  • To create a competency-based assessment tool for pediatric tracheotomy.
  • To identify and reach consensus on critical steps of the procedure.
  • To establish a foundation for standardized trainee evaluation.

Main Methods:

  • A modified Delphi consensus process involving 65 expert surgeons.
  • Two rounds of surveys using REDCap to rate and refine potential assessment items.
  • Consensus criteria were pre-defined to determine final items for the tool.

Main Results:

  • High response rates in both Delphi rounds (60.0% and 67.7%).
  • Consensus was reached on 13 task-specific items and 5 global rating items.
  • The process demonstrated feasibility in identifying key procedural elements.

Conclusions:

  • A modified Delphi process is effective for achieving consensus on pediatric tracheotomy competencies.
  • The identified items provide a basis for developing a competency-based assessment tool.
  • This tool can standardize training and evaluation for pediatric tracheotomy procedures.