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Related Concept Videos

Trachea01:22

Trachea

2.8K
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...
2.8K
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

1.3K
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...
1.3K
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

416
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...
416
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

2.4K
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...
2.4K
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

1.0K
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,...
1.0K
The Bronchial Tree01:23

The Bronchial Tree

3.7K
The human bronchi and bronchial tree play a crucial role in the respiratory system, facilitating the exchange of oxygen and carbon dioxide. Let's delve into the intricate structure and functions of these respiratory components.
The trachea, commonly known as the windpipe, is a tube that connects the larynx (voice box) to the bronchi. At a point called the carina, it bifurcates into two primary bronchi. The right primary bronchus is wider, shorter, and more vertical than the left primary...
3.7K

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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
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Tracheobronchoplasty for tracheobronchomalacia.

Charles T Bakhos1, Jessica Magarinos2, Daniel Bent2

  • 1Department of Thoracic Medicine and Surgery, Temple University Hospital, Lewis Katz School of Medicine, Philadelphia, PA, USA.

Journal of Visualized Surgery
|June 6, 2022
PubMed
Summary

Tracheobronchoplasty (TBP) repairs airway collapse in tracheobronchomalacia (TBM) by reinforcing the posterior wall. Robotic TBP shows promise, but long-term durability requires further study.

Keywords:
Splintingairwaycollapseroboticthoracotomy

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Area of Science:

  • Thoracic Surgery
  • Respiratory Medicine
  • Biomedical Engineering

Background:

  • Tracheobronchomalacia (TBM) is a condition characterized by excessive collapse of the central airways.
  • Tracheobronchoplasty (TBP) is a surgical intervention to address severe TBM by stabilizing the posterior membranous airway wall.

Purpose of the Study:

  • To describe the technique and considerations for tracheobronchoplasty (TBP).
  • To evaluate the early outcomes and potential advantages of robotic-assisted TBP.

Main Methods:

  • TBP involves sewing a mesh onto the posterior membranous wall of the trachea and main stem bronchi.
  • Traditionally performed via thoracotomy, requiring extensive surgical exposure and careful airway management.
  • Robotic platform utilized for TBP, offering enhanced visualization and precision.

Main Results:

  • Robotic-assisted TBP demonstrates encouraging early outcomes.
  • Key technical aspects include mesh placement, suture spacing for plication, and airway downsizing.
  • The procedure necessitates careful management of the endotracheal tube to prevent complications.

Conclusions:

  • Robotic TBP presents potential advantages over traditional thoracotomy for TBM repair.
  • Longitudinal follow-up is crucial to assess the long-term durability of TBP, especially in patients with comorbidities.