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Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

459
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...
459
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

1.4K
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...
1.4K
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

2.7K
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...
2.7K
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

508
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...
508
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

421
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:
421
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

1.1K
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,...
1.1K

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Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

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Is COVID-19 Infection A Risk Factor for Intubation-Related Acquired Airway Stenosis?

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2026
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Related Experiment Video

Updated: Oct 5, 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

824

COVID-19 Tracheostomy Outcomes.

Nicole Molin1, Keith Myers2, Ahmed M S Soliman1

  • 1Department of Otolaryngology-Head and Neck Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|February 1, 2022
PubMed
Summary

Tracheostomy in COVID-19 patients did not reduce ventilation duration but significantly decreased mortality. This indicates tracheostomy is not a poor prognostic factor, offering higher survival rates in critically ill COVID-19 patients.

Keywords:
COVID-19mechanical ventilationtracheostomy

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Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
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Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy

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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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Published on: March 15, 2024

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Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
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Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy

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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

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Area of Science:

  • Critical Care Medicine
  • Infectious Diseases
  • Surgical Procedures

Background:

  • COVID-19 poses significant mortality risks, especially in mechanically ventilated patients.
  • Tracheostomy is a procedure to facilitate airway management and ventilation.
  • The impact of tracheostomy on COVID-19 patient outcomes remains an area of investigation.

Purpose of the Study:

  • To assess COVID-19 mortality in ventilated patients with and without tracheostomy.
  • To determine tracheostomy's effect on mechanical ventilation duration, length of stay (LOS), and intensive care unit (ICU) LOS.
  • To evaluate tracheostomy as a prognostic factor in COVID-19 patients.

Main Methods:

  • A case series with planned chart review was conducted at a single tertiary care center.
  • Patients with COVID-19 requiring invasive positive pressure ventilation (IPPV) were stratified into tracheostomy and intubation-only cohorts.
  • Outcomes measured included mortality, LOS, ICU LOS, and IPPV duration.

Main Results:

  • Of 258 patients, 46 had tracheostomy and 212 did not. Average LOS, ICU LOS, and IPPV duration were longer in the tracheostomy cohort (P < .01).
  • Mortality was significantly lower in the tracheostomy cohort (29%) compared to the non-tracheostomy cohort (54%, P < .01).
  • The ability to wean from IPPV was similar between the groups (P > .05).

Conclusions:

  • Tracheostomy in COVID-19 patients did not shorten ventilation duration or overall/ICU LOS.
  • Despite longer ventilation times, tracheostomy was associated with significantly lower mortality rates.
  • Tracheostomy in COVID-19 patients is not a poor prognostic indicator and is associated with improved survival.