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Related Concept Videos

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: Procedure and Tubes01:28

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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 II: Venturi Mask and Transtracheal Oxygen01:16

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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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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 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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Related Experiment Video

Updated: Oct 16, 2025

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
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[Pediatric tracheostomy: Ten year experience in an Intensive Care Unit].

Ignacio Oyarzún1, María José Conejero2, Rodrigo Adasme3

  • 1Departamento de Cardiología y Enfermedades Respiratorias Pediátricas, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

Andes Pediatrica : Revista Chilena De Pediatria
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Summary

Pediatric tracheostomies are increasingly performed for chronic mechanical ventilation (MV) needs, not just acute airway obstruction. This safe procedure often results in children being discharged with a tracheostomy and ongoing MV support.

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Area of Science:

  • Pediatric Surgery
  • Otolaryngology
  • Respiratory Medicine

Background:

  • Pediatric tracheostomy indications have shifted from acute airway obstruction to chronic mechanical ventilation (MV) support over 30 years.
  • This study examines current trends in pediatric tracheostomy over a ten-year period.

Purpose of the Study:

  • To describe the indications for pediatric tracheostomies.
  • To evaluate the morbidity associated with pediatric tracheostomies.
  • To analyze outcomes in children undergoing tracheostomy.

Main Methods:

  • A descriptive study analyzing clinical records of pediatric patients (<15 years) tracheostomized between 2005 and 2015.
  • Evaluation of demographic data, pre- and post-tracheostomy variables, ICU stay, age, indications, complications (early and late), and mortality.
  • Focus on identifying risk factors for tracheostomy and chronic MV dependence.

Main Results:

  • 59 children were analyzed; 59% were under 6 months old, and 60% were male.
  • Primary indications included airway disease (58%) and chronic MV (42%), with subglottic stenosis and bronchopulmonary dysplasia being key reasons.
  • No tracheostomy-related mortality was observed; 89% were discharged with tracheostomy, and 59% with chronic MV.

Conclusions:

  • Pediatric tracheostomy is a safe intervention.
  • Airway disease and the need for chronic mechanical ventilation are the main indications.
  • Younger children and those with complex health needs are more likely to require long-term tracheostomy and MV.