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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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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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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:
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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 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 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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Related Experiment Video

Updated: Dec 4, 2025

Guidelines for Elective Pediatric Fiberoptic Intubation
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Performing Percutaneous Dilational Tracheostomy without using Fiberoptic Bronchoscope.

Siamak Yaghoubi1, Nilofar Massoudi2, Mohammad Fathi3

  • 1Department of Anaesthesiology, Qazvin University of Medical Sciences, Qazvin, Iran.

Tanaffos
|October 26, 2020
PubMed
Summary
This summary is machine-generated.

Percutaneous tracheostomy without bronchoscopy is a safe and effective procedure. This study found it to be useful in intensive care units, potentially reducing costs and improving efficiency.

Keywords:
OutcomesPercutaneous dilatation tracheostomyfiberoptic bronchoscopic guidance

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Area of Science:

  • Critical Care Medicine
  • Surgical Procedures
  • Respiratory Therapy

Background:

  • Percutaneous tracheostomy is an increasingly common ICU procedure.
  • Bronchoscopic guidance is often used but its necessity is debated.
  • Eliminating bronchoscopy may enhance cost-effectiveness and efficiency.

Purpose of the Study:

  • To evaluate the safety and efficacy of percutaneous dilatational tracheostomy without fiberoptic bronchoscopic guidance.

Main Methods:

  • A descriptive epidemiological survey was conducted.
  • The study included 70 patients undergoing percutaneous tracheostomy.
  • The procedure was performed without fiberoptic bronchoscopic guidance.

Main Results:

  • No cases of pneumothorax, trauma, major/minor bleeding, cuff leak, or conversion to surgical procedures were observed.
  • Accidental extubation did not occur in any patient.
  • Subcutaneous emphysema, mal-position, and hypoxia each occurred in one patient (1.4%).

Conclusions:

  • Percutaneous dilatational tracheostomy without fiberoptic bronchoscopic guidance is a useful and safe technique.
  • The findings suggest that bronchoscopic guidance may not be essential for this procedure.
  • This approach holds potential for improving efficiency and reducing costs in intensive care settings.