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Related Concept Videos

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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Current Trends in Nursing I01:28

Current Trends in Nursing I

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Current trends in nursing include:
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Current Trends in Nursing II01:30

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Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
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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: 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 Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

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Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
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Related Experiment Video

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Evaluating the Effects of Different Polishing Methods on Color Stability of Dental Restorations in Pediatric Dentistry
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Pediatric tracheostomies: changing trends.

P Arcand1, J Granger

  • 1Department of Otolaryngology, Hôpital Sainte-Justine, Montreal, Quebec, Canada.

The Journal of Otolaryngology
|April 1, 1988
PubMed
Summary
This summary is machine-generated.

Tracheostomy procedures decreased significantly between the 1970s and 1980s, with decannulation times increasing. Indications shifted from acute infections to prolonged intubation complications and congenital malformations.

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Area of Science:

  • Pediatric Surgery
  • Otolaryngology
  • Respiratory Medicine

Background:

  • Tracheostomy is a critical airway management procedure in pediatrics.
  • Understanding trends in tracheostomy indications and outcomes is essential for clinical practice.

Purpose of the Study:

  • To analyze changes in tracheostomy procedures, indications, and outcomes over two distinct periods.
  • To compare complication and mortality rates associated with tracheostomies.

Main Methods:

  • Retrospective review of tracheostomies performed at Sainte-Justine Hospital.
  • Data collected from 1970-1975 and 1980-1985.
  • Comparison of procedural volume, decannulation times, indications, and complications.

Main Results:

  • A significant decrease in tracheostomy procedures was observed in the later period (1980-1985).
  • Decannulation time increased substantially from 28 to 91 days.
  • Primary indications shifted from acute upper respiratory infections to complications of prolonged intubation and congenital malformations.

Conclusions:

  • The study highlights a notable shift in pediatric tracheostomy practices and patient profiles.
  • Increased decannulation times suggest changes in patient complexity or management protocols.
  • Evolving indications necessitate updated clinical guidelines and resource allocation for pediatric airway management.