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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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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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Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

833
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:
833
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 Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

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Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
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Related Experiment Video

Updated: Dec 25, 2025

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
10:06

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy

Published on: May 18, 2019

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Multispecialty tracheostomy experience.

G Lipton1, M Stewart2, R McDermid2

  • 1NHS Lanarkshire, UK.

Annals of the Royal College of Surgeons of England
|April 3, 2020
PubMed
Summary
This summary is machine-generated.

This audit of 523 tracheostomies reveals that most are elective procedures, with otolaryngology handling most emergency cases. Complications occurred in 9% of patients, and a quarter of patients died, often from advanced cancer.

Keywords:
AirwayCricothyroidotomyTracheostomy

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The Rigid Tube as an Alternative in Controlling the Problematic Airway
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Area of Science:

  • Medical Research
  • Surgical Procedures
  • Critical Care Medicine

Background:

  • Tracheostomy is a common surgical procedure for securing airways, increasingly performed in critical care settings.
  • The prevalence of tracheostomy in units with large head and neck surgery departments and UK-wide practice variations are not well-documented.

Purpose of the Study:

  • To conduct a comprehensive, multispecialty audit of tracheostomy procedures.
  • To analyze practice patterns and outcomes in a large health board, comparing units with and without large head and neck surgery departments.

Main Methods:

  • A three-year retrospective audit of all tracheostomy procedures across anaesthetic, surgical, and critical care departments.
  • Anonymous recording of all tracheostomy procedures performed.

Main Results:

  • 523 tracheostomies were performed; 66% in men, mean age 60. 83% were elective, 17% emergency.
  • Otolaryngology performed most emergency tracheostomies (78%). Complications occurred in 9% (most commonly lower respiratory tract infection).
  • Mean decannulation time was 12.8 days. Approximately 25% of patients died, primarily due to advanced cancer.

Conclusions:

  • The study provides insights into tracheostomy practice within a large health board, with over 150 procedures annually.
  • Elective tracheostomies are predominant, but a significant number of emergency procedures for diverse pathologies were recorded.
  • A substantial proportion of patients undergoing tracheostomy did not survive, often due to underlying advanced cancer.