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Related Concept Videos

Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

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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: 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 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 Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

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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.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
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Tracheostomy Decannulation01:21

Tracheostomy Decannulation

894
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...
894
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

1.2K
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 23, 2025

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
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Tracheostomy protocols during COVID-19 pandemic.

Cameron P Heyd1, Vincent M Desiato2, Shaun A Nguyen2

  • 1Lake Erie College of Osteopathic Medicine, Bradenton, Florida, USA.

Head & Neck
|April 25, 2020
PubMed
Summary
This summary is machine-generated.

COVID-19 pandemic guidelines for tracheostomy vary significantly. This review summarizes current recommendations for perioperative precautions and protocols to aid health systems in adapting to evolving science.

Keywords:
COVID-19coronavirusrecommendationstracheostomytracheotomy

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Area of Science:

  • Medicine
  • Infectious Diseases
  • Surgical Procedures

Background:

  • The COVID-19 pandemic necessitated rapid changes in medical protocols.
  • Guidelines for tracheostomy indications and perioperative management were frequently updated.

Purpose of the Study:

  • To evaluate current tracheostomy guidelines during the COVID-19 pandemic.
  • To provide a framework for health systems to prepare for evolving scientific understanding.

Main Methods:

  • A literature review was conducted.
  • Articles reporting clinical practice guidelines for tracheostomy in the context of COVID-19 were included.

Main Results:

  • Thirteen tracheostomy guidelines were identified from various sources and specialties.
  • All guidelines recommended postponing elective surgeries for COVID-19 positive patients.
  • Recommendations included reducing team size and forming designated tracheostomy teams.

Conclusions:

  • Tracheostomy guidelines during the COVID-19 pandemic exhibit variability.
  • Guideline variations depend on specialty, hospital systems, and resource availability.
  • This summary reflects the state of guidelines in April 2020 and is subject to change.