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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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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 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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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.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
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Trachea01:22

Trachea

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The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
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Updated: Sep 28, 2025

Author Spotlight: Investigating the Key Factors of Obliterative Bronchiolitis After Lung Transplantation
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Tracheal Bronchus With Difficult Lung Isolation: A Case Report.

Daniel A Friedlander1, Rabi Panigrahi1,2, Dhamodaran Palaniappan1,2

  • 1Department of Anesthesiology, 21654University of Connecticut School of Medicine, Farmington, CT, USA.

Seminars in Cardiothoracic and Vascular Anesthesia
|March 28, 2022
PubMed
Summary
This summary is machine-generated.

Tracheal bronchus (TB) is a rare airway variation. This study highlights successful management strategies for lung isolation in patients with TB, ensuring safe anesthetic procedures.

Keywords:
cardiac anesthesiologyfiberoptic bronchoscopyone lung ventilationthoracic anesthesiologytracheal bronchus

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Area of Science:

  • Anesthesiology
  • Thoracic Surgery
  • Pulmonology

Background:

  • Tracheal bronchus (TB) is an anatomical variation occurring in 0.1-3% of individuals.
  • This accessory bronchus typically originates in the trachea and supplies the right upper lobe.
  • TB can present unique challenges for airway management, especially during lung isolation procedures.

Observation:

  • A case of difficult lung isolation due to TB is presented.
  • Fiberoptic bronchoscopy facilitated precise double lumen tube placement, avoiding TB obstruction.
  • A second case demonstrated uneventful anesthetic management despite the presence of TB.

Findings:

  • Successful lung isolation and one-lung ventilation are achievable with careful planning in TB cases.
  • Fiberoptic bronchoscopy is crucial for accurate assessment and device placement.
  • Anesthetic management may not always be complicated by TB.

Implications:

  • Awareness of TB is essential for anesthesiologists and thoracic surgeons.
  • Preoperative evaluation and bronchoscopic examination can guide airway management strategies.
  • Effective strategies exist for managing patients with TB, ensuring patient safety during thoracic surgery.