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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.
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Oxygen Delivering System III: Tracheostomy and T-piece01:23

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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
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Tracheostomy Decannulation01:21

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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 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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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.
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Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

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Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
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Related Experiment Video

Updated: Nov 4, 2025

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model
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Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model

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The Dynamic Tracheoesophageal Prosthesis Length.

Sara Yang1, Corinne Bunn2, Sarah Kramer3

  • 1Department of Otolaryngology Head and Neck Surgery, Loyola University Medical Center, 2160 S. First Ave, Maywood, Illinois.

Journal of Voice : Official Journal of the Voice Foundation
|May 24, 2021
PubMed
Summary
This summary is machine-generated.

Tracheoesophageal prosthesis length often decreases after secondary puncture, necessitating adjustments. A significant number experience length fluctuations, increasing the risk of fistula closure and re-puncture.

Keywords:
Voice prosthesis—Laryngectomy—Tracheoesophageal puncture—Voice rehabilitation

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Area of Science:

  • Otolaryngology
  • Speech-Language Pathology

Background:

  • Tracheoesophageal (TE) speech is the preferred communication method post-laryngectomy.
  • Some patients require prosthesis resizing after initial TE prosthesis placement.

Purpose of the Study:

  • To report on the variability of tracheoesophageal prosthesis length in patients undergoing secondary tracheoesophageal puncture (TEP).

Main Methods:

  • Retrospective chart review of 62 patients who underwent secondary TEP.
  • Data collected included demographics, prosthesis length changes, adjustments, and exchange timing.

Main Results:

  • Mean prosthesis length decreased by 3.85 mm; an average of 4.37 adjustments were needed.
  • 41.9% of patients had prosthesis length increases, with 11.3% requiring re-puncture.
  • Smoking history, Blom-Singer prosthesis type, and larger diameter were associated with fluctuating lengths.

Conclusions:

  • TE prosthesis length tends to decrease over time in secondary punctures, requiring speech-language pathologist intervention.
  • Prosthesis length fluctuations pose a significant risk for tracheoesophageal fistula closure and re-puncture.