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Related Concept Videos

Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

364
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

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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...
367
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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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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Tracheostomy Decannulation01:21

Tracheostomy Decannulation

374
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...
374

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Related Experiment Video

Updated: Sep 4, 2025

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
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Changes in Multidisciplinary Tracheostomy Team Practice Over Time.

E Carton1, E Fitzgerald1, R Elebert1

  • 1Department of Critical Care Medicine, Mater Hospital, Dublin, Ireland.

Irish Medical Journal
|July 21, 2022
PubMed
Summary
This summary is machine-generated.

A Multidisciplinary Tracheostomy Team (MTT) significantly reduced the duration of tracheostomy cannulation in patients discharged from the Intensive Care Unit (ICU). The MTT also facilitated the use of Mini-Trachs post-decannulation, improving patient care.

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Area of Science:

  • Critical Care Medicine
  • Surgical Outcomes
  • Respiratory Therapy

Background:

  • Growing numbers of patients with tracheostomies are discharged from Intensive Care Units (ICUs) to general hospital wards.
  • Multidisciplinary Tracheostomy Teams (MTTs) show potential benefits in managing these complex patients.
  • Evaluating the impact of an established MTT on tracheostomy care is crucial.

Purpose of the Study:

  • To compare tracheostomy management and patient outcomes before and after the sustained development of an MTT service.
  • To assess the effect of an eight-year MTT evolution on tracheostomy cannulation duration and decannulation practices.
  • To determine the association between an active MTT and patient outcomes post-ICU discharge.

Main Methods:

  • Retrospective audit comparing two patient cohorts: 2009-2011 (n=117) and 2017 (n=81).
  • Analysis of tracheostomy management strategies, cannulation duration, and post-decannulation interventions.
  • Statistical comparison of outcomes between the two study periods.

Main Results:

  • Significantly shorter duration of tracheostomy cannulation in 2017 (21 days) compared to 2009-2011 (31 days) (p=0.0005).
  • Increased utilization of Mini-Trach devices after tracheostomy decannulation in 2017 (69% of patients).
  • Demonstrated improvement in key tracheostomy care metrics over the eight-year period.

Conclusions:

  • Continued development of an MTT service is linked to reduced tracheostomy duration.
  • The MTT facilitates the adoption of advanced decannulation techniques like Mini-Trach use.
  • An active MTT is vital for optimizing the care and outcomes of tracheostomy patients post-ICU.