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Related Concept Videos

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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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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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Tracheostomy Suctioning I: Pre-Procedural Steps01:26

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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.
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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 III: Tracheostomy and T-piece01:23

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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.
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Related Experiment Video

Updated: Sep 28, 2025

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
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Open Bedside Tracheostomy: Safe and Cost Saving but Underutilized Nationally.

Liyang Tang1, Jonathan West1, Esther Lee2

  • 1Rick and Tina Caruso Department of Otolaryngology-Head and Neck Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|April 5, 2022
PubMed
Summary

Open bedside tracheostomy (OBT) is safe and cost-effective for complex patients, yet underutilized in academic settings. Further adoption of OBT could improve patient care and reduce costs.

Keywords:
bedside tracheostomypercutaneous tracheostomy

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Area of Science:

  • Otolaryngology
  • Surgical Procedures
  • Health Economics

Background:

  • Tracheostomy is a common procedure for prolonged mechanical ventilation.
  • Different tracheostomy techniques, including open bedside tracheostomy (OBT), open operating room (OR) tracheostomy, and bedside percutaneous dilatational tracheostomy (PDT), have varying complication rates and costs.
  • Understanding practice patterns and comparative effectiveness is crucial for optimizing patient care.

Purpose of the Study:

  • To evaluate the safety and cost-effectiveness of open bedside tracheostomy (OBT) compared to open operating room (OR) tracheostomy and bedside percutaneous dilatational tracheostomy (PDT).
  • To determine the current tracheostomy practice patterns within academic otolaryngology programs.

Main Methods:

  • A retrospective cohort study analyzed 802 tracheostomies (449 OBT, 206 PDT, 147 OR tracheostomy) performed between 2009 and 2019.
  • Complications, comorbidities, costs, and patient demographics were recorded.
  • A cross-sectional survey of otolaryngology program directors assessed practice patterns and barriers to OBT implementation.

Main Results:

  • Complication rates were low across all methods. PDT was associated with higher rates of perioperative tracheal bleeding and mucus plugging.
  • OBT was performed on patients with higher comorbidity scores, indicating its use in sicker individuals.
  • OBT was less expensive than PDT, and only 52.7% of surveyed academic programs routinely performed OBT.

Conclusions:

  • Open bedside tracheostomy (OBT) is a safe and cost-effective option, even for patients with multiple comorbidities.
  • Despite its advantages, OBT is not routinely performed in a significant proportion of academic otolaryngology programs.
  • Barriers to OBT adoption need to be addressed to improve its utilization.