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Tracheostomy: Procedure and Tubes

Tracheostomy: Procedure and Tubes

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 Care I: Pre-procedural Steps

Tracheostomy Care I: Pre-procedural Steps

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:

Tracheostomy Decannulation

Tracheostomy Decannulation

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...

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

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,...

Oxygen Delivering System III: Tracheostomy and T-piece

Oxygen Delivering System III: Tracheostomy and T-piece

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 Care II: Procedure

Tracheostomy Care II: Procedure

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: Nov 20, 2025

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

Published on: November 30, 2022

Bedside tracheostomy for a COVID-19 cohort.

Daniel I Loube¹, Kashif Z Hassan¹, Sang H Lee¹

¹Critical Care Division, Regional Medical Center of San Jose, USA.

Respiratory Medicine Case Reports

|January 26, 2021

Summary

Percutaneous tracheostomy in COVID-19 patients on mechanical ventilation is safe and effective for weaning. This bedside procedure showed no infection transmission to healthcare workers, promoting patient recovery.

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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

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Last Updated: Nov 20, 2025

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

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Published on: November 30, 2022

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

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Published on: March 15, 2024

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

Area of Science:

Critical Care Medicine
Infectious Diseases
Surgical Procedures

Background:

The COVID-19 pandemic presented unique challenges for ventilator-dependent patients.
Healthcare worker safety during aerosol-generating procedures like tracheostomy was a significant concern.

Observation:

A case-series approach was used to evaluate tracheostomy in mechanically ventilated COVID-19 patients.
The study focused on percutaneous tracheostomy performed at the bedside.

Findings:

Percutaneous tracheostomy was effective in facilitating weaning from mechanical ventilation in COVID-19 patients.
The procedure demonstrated a low complication rate.
Crucially, no COVID-19 transmission occurred to the healthcare workers involved in the procedures.

Implications:

Bedside percutaneous tracheostomy can be safely implemented for COVID-19 patients requiring prolonged mechanical ventilation.
This technique offers a viable option for managing ventilator-dependent COVID-19 patients while minimizing infection risk to staff.
The findings support the integration of this procedure into critical care protocols for pandemic scenarios.