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Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

981
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...
981
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

879
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:
879
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 Care II: Procedure01:25

Tracheostomy Care II: Procedure

1.1K
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...
1.1K
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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Related Experiment Video

Updated: Jan 1, 2026

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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Obese Tracheostomy: A Challenging Path From Surgery to Decannulation.

Ashleigh Weyh1, Stephanie Davis2, Jennifer Dolan1

  • 1Resident, Department of Oral and Maxillofacial Surgery, University of Florida Health Jacksonville, Jacksonville, FL.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|December 28, 2019
PubMed
Summary

Obese patients undergoing tracheostomy face higher risks of prolonged dependence and complications. Higher body mass index (BMI) correlates with longer decannulation times and lower success rates, necessitating careful consideration of BMI in treatment planning.

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Area of Science:

  • Otolaryngology
  • Pulmonology
  • Bariatric Medicine

Background:

  • Tracheostomy decannulation guidelines are lacking, especially for obese patients.
  • Limited long-term outcome data exists for obese individuals post-tracheostomy.

Purpose of the Study:

  • To evaluate tracheostomy outcomes in obese patients from surgery to decannulation.
  • To assess rates of tracheostomy downsizing and decannulation success.
  • To identify pre-, intra-, and postoperative factors influencing tracheostomy downsizing and decannulation.

Main Methods:

  • Retrospective cohort study of 82 obese patients (BMI >30 kg/m²).
  • Analysis of pre-, intra-, and postoperative variables for predictive value.
  • Statistical analysis including chi-squared test, ANOVA, t-test, and regression models.

Main Results:

  • 75.6% of subjects were successfully downsized, and 47.6% were decannulated.
  • Increased BMI correlated with longer decannulation times and reduced success rates.
  • For BMI ≥30 kg/m², downsize success was 93.5% and decannulation success was 89.7%.

Conclusions:

  • Obese patients have increased risks of complications and tracheostomy dependence.
  • Patient's body mass index (BMI) is a critical factor in planning decannulation progression.