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Related Concept Videos

Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

409
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

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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Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

490
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...
490
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...
1.2K
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

628
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
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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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Related Experiment Video

Updated: Sep 23, 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

777

Percutaneous Tracheostomy: A Bedside Procedure.

Misbahuddin Khaja1, Asim Haider2, Anuhya Alapati3

  • 1Internal Medicine/Pulmonary and Critical Care, Icahn School of Medicine at Mount Sinai/Bronx Care Health System, New York City, USA.

Cureus
|May 16, 2022
PubMed
Summary
This summary is machine-generated.

Percutaneous tracheostomy offers a less invasive bedside surgical option for patients needing prolonged mechanical ventilation. This technique provides advantages like reduced procedure time and cost compared to traditional methods.

Keywords:
early tracheostomyoutcome of early versus late tracheostomypercutaneous tracheostomytracheostomy complicationstracheostomy procedure

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Area of Science:

  • Surgical Procedures
  • Critical Care Medicine
  • Respiratory Therapy

Background:

  • Tracheostomy creates an opening in the trachea for patients requiring mechanical ventilation exceeding 7-10 days.
  • Various tracheotomy tube types exist, including cuffed/uncuffed, fenestrated/unfenestrated, and single/double lumen designs.
  • Indications range from emergency acute airway obstruction to elective prolonged intubation.

Purpose of the Study:

  • To describe the percutaneous tracheostomy procedure, its indications, contraindications, and benefits.
  • To highlight percutaneous tracheostomy as a modern bedside alternative to traditional surgical tracheostomy.

Main Methods:

  • Percutaneous tracheostomy is a bedside surgical technique creating an anterior tracheal wall opening.
  • The procedure has been utilized since the late 1990s and requires specialized skills.
  • Physicians performing the procedure include otolaryngologists, general surgeons, interventional pulmonologists, thoracic surgeons, and intensivists.

Main Results:

  • Advantages include bedside performance, reduced procedural time, lower costs, and avoidance of operating room scheduling.
  • No absolute contraindications exist, though severe hypoxia and coagulopathy require careful consideration.
  • It is a newer technique demanding specific expertise.

Conclusions:

  • Percutaneous tracheostomy is a valuable bedside procedure for patients needing extended mechanical ventilation.
  • Its benefits in efficiency and cost-effectiveness make it a preferred option in many clinical settings.
  • Careful patient selection and physician expertise are crucial for successful outcomes.