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Related Concept Videos

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: 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 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 I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

600
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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Trachea01:22

Trachea

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The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
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Related Experiment Video

Updated: Nov 20, 2025

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model
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Revision cricotracheal resection: our experience.

H A Ebada1, A M A El-Fattah1, A Tawfik1

  • 1Otorhinolaryngology Department, Mansoura University, Egypt.

The Journal of Laryngology and Otology
|January 25, 2021
PubMed
Summary

Revision cricotracheal resection effectively treats recurrent airway stenosis after initial surgery. This procedure offers high success rates for patients with challenging post-operative conditions, leading to successful decannulation in most cases.

Keywords:
StenosisSurgifloTrachea

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Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease
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Area of Science:

  • Otorhinolaryngology
  • Surgical Innovation

Background:

  • Recurrent stenosis after cricotracheal resection occurs in 3-9.5% of cases.
  • Managing recurrent stenosis presents significant clinical challenges.

Purpose of the Study:

  • To review the experience and outcomes of revision cricotracheal resection for recurrent stenosis.
  • To evaluate the efficacy of revision surgery in managing complex airway obstructions.

Main Methods:

  • A retrospective review of nine patients undergoing revision cricotracheal resection.
  • Surgiflo was utilized at the anastomosis site to promote healing.
  • All procedures were performed at Mansoura University Hospitals, Egypt.

Main Results:

  • No intra-operative complications were observed.
  • Minor post-operative complications (surgical emphysema, temporary choking) occurred in two patients.
  • Eight out of nine patients achieved successful decannulation, with one instance of re-stenosis.

Conclusions:

  • Revision cricotracheal resection is a definitive treatment for recurrent stenosis.
  • High success rates are achievable with meticulous pre-operative assessment and surgical technique.
  • This approach offers a curative solution for previously unsuccessful resections.