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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 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 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 Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

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Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
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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.
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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Related Experiment Video

Updated: Oct 19, 2025

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
04:43

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

Published on: March 15, 2024

873

Navigation system for percutaneous tracheotomy.

Johan Ullman1,2, Jonas Karling2, Rusana Bark3,4

  • 1Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.

Acta Oto-Laryngologica
|September 27, 2021
PubMed
Summary
This summary is machine-generated.

This study introduces SafeTrach, a novel 3D navigation system for percutaneous dilatational tracheotomy (PDT). It utilizes internal landmarks to guide needle insertion, potentially reducing posterior tracheal wall injury.

Keywords:
Tracheotomydilatationalpercutaneoustracheostomy

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Area of Science:

  • Medical Devices
  • Surgical Navigation
  • Anesthesiology

Background:

  • Percutaneous dilatational tracheotomy (PDT) is a standard procedure.
  • Accurate identification of neck anatomical landmarks is crucial for PDT.
  • Challenging patient anatomy can complicate traditional PDT landmark identification.

Purpose of the Study:

  • To present SafeTrach, a novel three-dimensional navigation system for PDT.
  • To offer an alternative technique using internal landmarks for patients with difficult anatomy.
  • To enhance safety and precision in tracheotomy procedures.

Main Methods:

  • The SafeTrach system employs a forceps-like instrument with inner and outer shanks.
  • The inner shank functions as a ventilation lumen and orotracheal tube stabilizer.
  • The outer shank serves as a 3D guide for precise needle insertion.

Main Results:

  • Intraoperative measurements in 20 patients determined puncture site distances from vocal cords: ~50mm (men) and ~40mm (women).
  • CT scan analysis in 13 patients showed median distances from vocal cords to optimal puncture site: 45mm (men) and 42mm (women).

Conclusions:

  • The SafeTrach navigation system allows the use of external or internal landmarks for PDT puncture level indication.
  • This system has the potential to minimize the risk of posterior tracheal wall injury during PDT.
  • SafeTrach offers a valuable alternative for tracheotomy in patients with complex neck anatomy.