Related Experiment Video
Updated: Dec 23, 2025
07:16
An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
Published on: November 30, 2022
4.3K
Tracheostomy Management during the COVID-19 Pandemic
Richard A Goldman1, Brian Swendseid1, Jason Y K Chan2
1Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, USA.
Summary
Patients with tracheostomy or laryngectomy may pose a unique risk for coronavirus disease 2019 (COVID-19) transmission. Guidelines for managing open airways were developed to provide practical guidance for healthcare institutions.
Area of Science:
- Infectious Diseases
- Healthcare Management
- Respiratory Medicine
Background:
- The COVID-19 pandemic has strained healthcare systems globally.
- Healthcare workers face significant infection risks, especially within facilities.
- Asymptomatic transmission of COVID-19 is a growing concern.
Purpose of the Study:
- To address the unique risks of COVID-19 transmission from patients with tracheostomy or laryngectomy.
- To review institutional guidelines for managing patients with open airways.
- To provide practical recommendations for other healthcare institutions.
Main Methods:
- Development of institutional guidelines by a multidisciplinary working group.
- Review of recommendations for the care of open airways.
- Analysis of potential droplet and aerosol spread risks.
Main Results:
- Preliminary data suggest asymptomatic COVID-19 transmission is possible.
- Tracheostomy or laryngectomy stomas may increase droplet and aerosol spread.
- Guidelines were developed to mitigate risks in healthcare settings.
Conclusions:
- Patients with open airways require specific protocols during the COVID-19 pandemic.
- Proactive management of airway stomas is crucial for infection control.
- Dissemination of these guidelines can enhance patient and healthcare worker safety.
Related Concept Videos
01:16Tracheostomy Care I: Pre-procedural Steps
805
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:
Required Equipment
The equipment necessary for tracheostomy care includes:
805
01:28Tracheostomy: Procedure and Tubes
2.3K
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...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
2.3K
01:25Tracheostomy Care II: Procedure
1.0K
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...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
1.0K
01:21Tracheostomy Decannulation
881
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...
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...
881
01:23Oxygen Delivering System III: Tracheostomy and T-piece
4.6K
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...
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...
4.6K
01:17Endotracheal Intubation II: Nursing Management
2.1K
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
2.1K