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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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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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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

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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 Tube Extubation01:24

Endotracheal Tube Extubation

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Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
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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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Updated: Dec 29, 2025

Image Acquisition using Portable Sonography for Emergency Airway Management
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Real-time confirmation of tracheal decompression.

Madan M Maddali1, Pranav S Kandachar2, Sunny Zacharias2

  • 1Department of Cardiac Anesthesia, National Heart Center, Royal Hospital, Muscat, Oman.

Journal of Cardiac Surgery
|February 5, 2020
PubMed
Summary

Intraoperative bronchoscopic guidance is crucial for managing central airway obstruction. This technique confirmed successful treatment of a 6-month-old infant

Keywords:
airway obstruction/etiologybrachiocephalic trunk/abnormalitiesbrachiocephalic trunk/surgerybronchoscopychildtreatment outcome

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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
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Area of Science:

  • Pediatric Surgery
  • Pulmonology
  • Medical Imaging

Background:

  • Central airway obstruction presents a significant challenge in pediatric patients.
  • Innominate artery compression of the distal trachea can lead to recurrent respiratory issues.
  • Surgical intervention like aortopexy is often required.

Observation:

  • A 6-month-old infant experienced recurrent chest infections due to innominate artery compression.
  • Aortopexy was performed using real-time bronchoscopic guidance.
  • Bronchoscopy allowed for continuous monitoring during the procedure.

Findings:

  • Real-time bronchoscopic guidance facilitated confirmation of successful release of the airway obstruction.
  • The technique provided immediate feedback on the effectiveness of the surgical intervention.
  • Successful management of the infant's condition was achieved.

Implications:

  • Intraoperative bronchoscopic guidance is a valuable tool for confirming successful outcomes in airway obstruction surgeries.
  • This method enhances surgical precision and patient safety.
  • It offers a reliable approach for managing complex pediatric airway anomalies.