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Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

960
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...
960
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

859
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:
859
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

1.6K
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,...
1.6K
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
Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

1.8K
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...
1.8K
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

4.8K
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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Related Experiment Video

Updated: Dec 30, 2025

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

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Improving Tracheostomy Decannulation Rate In Trauma Patients.

Michael S Farrell1, Thomas M Gillin1, John S Emberger1

  • 1Christiana Care Health System.

Critical Care Explorations
|January 28, 2020
PubMed
Summary

Implementing a multidisciplinary tracheostomy decannulation protocol (TDP) significantly increases the likelihood of successful tracheostomy decannulation (TD) in trauma patients. This protocol empowers respiratory therapists to improve patient outcomes during their hospital stay.

Keywords:
AirwayMechanical VentilationRespiratory TherapistTracheostomyTracheostomy DecannulationTrauma

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Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
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Area of Science:

  • Trauma surgery
  • Respiratory therapy
  • Critical care medicine

Background:

  • Tracheostomy is a common procedure in trauma patients, often leading to prolonged ventilation and hospital stays.
  • Effective protocols are needed to facilitate tracheostomy decannulation (TD) and improve patient outcomes.

Purpose of the Study:

  • To evaluate the impact of a multidisciplinary tracheostomy decannulation protocol (TDP) on TD rates and related outcomes in adult trauma patients.
  • To assess the effectiveness of empowering respiratory therapists within a TDP framework.

Main Methods:

  • Single-center retrospective review of adult trauma patients requiring tracheostomy.
  • Implementation of a TDP designed to facilitate tracheostomy decannulation (TD).
  • Analysis of TD rate, time to TD, length of stay, and reintubation/recannulation rates.

Main Results:

  • Patients managed under the TDP had a 50% higher chance of TD during their hospital stay (p<0.001).
  • The overall implementation of a TDP increased TD rates by 18% (p=0.003) and shortened time to TD by 5 days (p=0.07).
  • Time to discharge after ventilator liberation was shorter post-protocol initiation (p=0.04).

Conclusions:

  • A multidisciplinary tracheostomy decannulation protocol significantly improves TD rates in trauma patients.
  • Further research with larger populations is needed to identify predictive factors for earlier successful TD.