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Related Concept Videos

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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Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

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Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
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Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

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Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
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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...
1.4K
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

413
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:
413
Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

1.2K
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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Related Experiment Video

Updated: Sep 30, 2025

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
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Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

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Tracheostomy Is Associated With a Decrease in Delirium and Sedation for Intubated COVID-19 Patients.

Christopher Morton1, Margaret Pisani1, Margaret Doyle2

  • 1Department of Pulmonary, Critical Care and Sleep Medicine, Yale New Haven Hospital.

Journal of Bronchology & Interventional Pulmonology
|March 15, 2022
PubMed
Summary
This summary is machine-generated.

Tracheostomy in COVID-19 patients significantly reduced sedative medication use and delirium days. This procedure aids in earlier recovery for patients with prolonged respiratory failure.

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Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
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Area of Science:

  • Critical Care Medicine
  • Pulmonology
  • Infectious Diseases

Background:

  • COVID-19 acute respiratory distress syndrome (ARDS) often requires prolonged ventilation, leading to high rates of delirium and sedation.
  • Tracheostomy may improve outcomes like earlier ventilator liberation and reduced delirium, but optimal timing is unclear.

Purpose of the Study:

  • To investigate if tracheostomy is associated with lower sedation requirements and delirium incidence in intubated COVID-19 patients.

Main Methods:

  • Retrospective review of 32 COVID-19 patients undergoing tracheostomy for prolonged respiratory failure.
  • Comparison of Richmond Agitation Sedation-Scale and Confusion Assessment Method for ICU data 7 days before and after tracheostomy.
  • Analysis of sedative medication doses and proportion of delirious days pre- and post-tracheostomy.

Main Results:

  • Significant reduction in opioid and benzodiazepine doses post-tracheostomy (P=0.01 for both).
  • No significant change in antipsychotic or other sedative-hypnotic drug doses.
  • Significant decrease in the proportion of days with coma or delirium (P=0.008).

Conclusions:

  • Tracheostomy in COVID-19 patients is linked to reduced sedative medication administration.
  • Tracheostomy is associated with a decreased proportion of delirious days in this patient population.