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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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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 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 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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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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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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Oral epithelium response of electronic cigarette users to electronic cigarette.

Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathologyยท2022
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Related Experiment Video

Updated: Nov 8, 2025

The Rigid Tube as an Alternative in Controlling the Problematic Airway
08:26

The Rigid Tube as an Alternative in Controlling the Problematic Airway

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Protecting the tracheal tube cuff: a novel solution.

Adam Abel1, David A Behrman1, Jon D Samuels2

  • 1Department of Dentistry, Oral and Maxillofacial Surgery, New York Presbyterian Hospital - Weill Cornell Medical Center, New York, NY, USA.

Journal of Dental Anesthesia and Pain Medicine
|April 21, 2021
PubMed
Summary

Repeated tracheal tube cuff rupture during nasal intubation was overcome using a simple taping technique. This method facilitated successful airway management in a patient with complex facial anatomy, improving patient outcomes.

Keywords:
ComplicationsCuff RuptureEndotracheal TubeNasotracheal Intubation

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Area of Science:

  • Anesthesiology
  • Otolaryngology
  • Medical Devices

Background:

  • Management of difficult airways presents unique challenges.
  • Nasal intubation is a common procedure for certain surgical interventions.
  • Patient presented with a history of nasal trauma and multiple rhinoplasties, complicating nasal intubation.

Observation:

  • Tracheal tube cuff repeatedly ruptured during fiberoptic bronchoscope-guided nasal intubation.
  • Standard intubation protocols were insufficient due to anatomical complexities.
  • Extensive preparation of the nasal airways did not prevent repeated cuff failures.

Findings:

  • A novel technique involving covering the tracheal tube cuff with one-inch tape was employed.
  • The tube was initially advanced to the oropharynx, then withdrawn through the mouth to remove the tape.
  • The modified tube was then successfully advanced, securing the airway.

Implications:

  • This simple modification can overcome challenges associated with tracheal tube cuff rupture during nasal intubation.
  • The technique offers a potential solution for airway management in patients with difficult nasal anatomy.
  • Successful airway management is crucial for patient safety during complex facial surgeries.