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Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

841
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...
841
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...
1.0K
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

4.5K
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...
4.5K
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

2.9K
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....
2.9K
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

776
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:
776

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Related Experiment Video

Updated: Dec 18, 2025

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
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Outcomes After Tracheostomy in COVID-19 Patients.

Tiffany N Chao1, Sean P Harbison2, Benjamin M Braslow2

  • 1Department of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.

Annals of Surgery
|June 17, 2020
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Tracheostomy for COVID-19 patients is safe for both patients and healthcare workers. Modified procedures successfully mitigated transmission risks during this aerosol-generating procedure.

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Area of Science:

  • Critical Care Medicine
  • Infectious Disease Epidemiology
  • Surgical Procedures

Background:

  • Tracheostomy is a common procedure for prolonged endotracheal intubation in critically ill patients.
  • COVID-19 altered tracheostomy practices due to patient prognosis and provider transmission risks.
  • This study evaluated tracheostomy outcomes in COVID-19 patients and healthcare workers.

Purpose of the Study:

  • To determine the outcomes of patients undergoing tracheostomy for COVID-19.
  • To assess the safety of tracheostomy procedures for healthcare workers.
  • To evaluate the effectiveness of modified tracheostomy protocols in a pandemic setting.

Main Methods:

  • Prospective, single-system, multi-center observational cohort study.
  • Inclusion of patients with acute respiratory failure secondary to COVID-19.
  • Utilized aerosol-mitigating techniques for both open surgical and percutaneous dilational tracheostomy.

Main Results:

  • 53 patients underwent tracheostomy, with an average time of 19.7 days post-intubation.
  • Common indications included acute respiratory distress syndrome and failure to wean ventilation.
  • 56.6% liberated from ventilator, 30.2% discharged alive; no healthcare worker transmissions reported.

Conclusions:

  • Modified tracheostomy practices for COVID-19 patients were successfully implemented.
  • Tracheostomy appears safe for both COVID-19 patients and performing healthcare workers.
  • The study highlights the feasibility of safe tracheostomy during the COVID-19 pandemic.