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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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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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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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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 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

Updated: Nov 5, 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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Laryngectomy with a Tritube® and flow-controlled ventilation.

J R Bailey1, C Lee1, R Nouraei2

  • 1Department of Anaesthesia Poole Hospital NHS Trust Poole UK.

Anaesthesia Reports
|May 13, 2021
PubMed
Summary
This summary is machine-generated.

This study introduces a novel approach for transglottic squamous cell carcinoma resection using the TriTube and Evone ventilator. This method ensures continuous ventilation and a closed system, avoiding tracheostomy and potential tumor seeding.

Keywords:
airway assessment: co‐existing diseasetumour: airway obstructionupper airway anatomy

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Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
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Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Surgical Oncology

Background:

  • Transglottic squamous cell carcinoma presents a significant challenge for airway management during surgical resection.
  • Traditional laryngectomy techniques may involve multiple extubations and apnoeic periods, increasing risks.
  • Alternative airway management strategies are needed to optimize surgical conditions and patient safety.

Observation:

  • A novel technique utilizing the TriTube and Evone ventilator was employed for a total laryngectomy.
  • High-flow nasal oxygen and flow-controlled ventilation were maintained throughout the procedure.
  • The setup allowed for a closed system during critical surgical steps, including stoma creation.

Findings:

  • The TriTube and Evone ventilator facilitated curative en bloc resection of transglottic squamous cell carcinoma.
  • This approach successfully avoided awake or emergency tracheostomy, mitigating risks of tumor seeding.
  • Continuous ventilation and a closed system improved gas exchange and surgical access.

Implications:

  • This novel ventilation strategy offers a safer and more efficient alternative for managing complex laryngeal and subglottic tumors.
  • It potentially reduces operative time and complications associated with traditional airway management.
  • Further research can explore broader applications in head and neck cancer surgery.