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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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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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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:
743
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

813
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 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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Updated: Dec 14, 2025

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
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[Tracheostoma valves and their associated risks].

P Kress1, K Pfeiffer2

  • 1Klinikum Mutterhaus der Borromäerinnen, Feldstr. 16, 54290, Trier, Deutschland. peter.kress@mutterhaus.de.

HNO
|July 22, 2020
PubMed
Summary
This summary is machine-generated.

Tracheostoma valves aid voice restoration but pose risks. Inadvertent cuff inflation and mistaking heat and moisture exchanger (HME) filters for valves can cause airway obstruction and severe lung injury.

Keywords:
Airway obstructionBarotraumaMechanical ventilationSpeaking valveTracheostomy tube

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Area of Science:

  • Medical Devices
  • Respiratory Medicine
  • Patient Safety

Background:

  • Tracheostoma valves are widely used for voice restoration after tracheotomy or laryngectomy.
  • Recent reports highlight life-threatening incidents associated with tracheostoma valve use.
  • Understanding these risks is crucial for patient safety.

Purpose of the Study:

  • To analyze reported incidents involving tracheostoma valves.
  • To identify typical risk situations and their causes.
  • To propose measures for enhancing patient safety during valve use.

Main Methods:

  • Analysis of reported life-threatening incidents related to tracheostoma valves.
  • Review of commercially available tracheostoma valves, their functions, and limitations.
  • Identification of common errors and risk factors.

Main Results:

  • The most frequent incidents involved inadvertent tracheostomy tube cuff inflation with the valve in place and confusion between heat and moisture exchanger (HME) filters and tracheostoma valves.
  • These errors led to complete expiratory airway obstruction, resulting in barotrauma, pneumothorax, and asphyxia.
  • Insufficient monitoring during mechanical ventilation with tracheostoma valves presents another significant risk.

Conclusions:

  • Clearer marking of tracheostoma valves is recommended.
  • Specific training for hospital personnel on the risks associated with tracheostoma valves is essential.
  • Implementing these measures can effectively reduce the dangers of tracheostoma valve use.