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Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

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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...
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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

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Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
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Administering Oxygen by Nasal Cannula01:29

Administering Oxygen by Nasal Cannula

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Oxygen therapy is critical to patient care, especially for those struggling with respiratory issues. This intervention increases the oxygen concentration in the lungs, enhancing the amount of oxygen transported to the body's tissues. One standard method of delivering supplemental oxygen is through a nasal cannula, a non-invasive device that provides low to medium oxygen concentrations.
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
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Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

319
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...
319
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

330
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:
330

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Updated: Aug 19, 2025

Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death
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Cannulation and decannulation techniques for neonatal ECMO.

Amanda R Jensen1, Carl Davis2, Brian W Gray3

  • 1Riley Hospital for Children Indiana University School of Medicine Indianapolis, IN, USA.

Seminars in Fetal & Neonatal Medicine
|November 27, 2022
PubMed
Summary
This summary is machine-generated.

Extracorporeal membrane oxygenation (ECMO) provides vital support for neonates with heart or respiratory failure. This review details cannulation and decannulation techniques for veno-arterial (VA-ECMO) and veno-venous (VV-ECMO) support in neonates.

Keywords:
AvalonBicaval dual-lumen cannulaCannulationCrescentDecannulationECLSECMOExtracorporeal life supportExtracorporeal membrane oxygenationOriGenRecirculationVeno-arterial (VA)Veno-venous (VV)

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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
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Area of Science:

  • Neonatal critical care
  • Cardiovascular surgery
  • Respiratory medicine

Background:

  • Extracorporeal membrane oxygenation (ECMO) is crucial for neonates with cardiac/respiratory failure unresponsive to conventional treatments.
  • ECMO cannulation requires careful strategy selection based on patient needs, anatomy, and risks.
  • Historical VA-ECMO involved carotid artery and internal jugular vein cannulation; dual-lumen cannulae later enabled VV-ECMO via single access.

Purpose of the Study:

  • To review cannulation and decannulation techniques for VA-ECMO and VV-ECMO in neonates.
  • To highlight the evolution of ECMO cannulation strategies.
  • To provide guidance on optimizing ECMO support for critically ill neonates.

Main Methods:

  • Review of established and evolving cannulation and decannulation procedures for neonatal ECMO.
  • Discussion of dual-lumen cannula utilization for VV-ECMO.
  • Analysis of historical VA-ECMO approaches.

Main Results:

  • The development of dual-lumen cannulae improved VV-ECMO safety and efficacy.
  • Cannulation strategies have evolved from dual vessel access to single access with dual-lumen technology.
  • Techniques vary based on ECMO modality (VA vs. VV) and patient-specific factors.

Conclusions:

  • Neonatal ECMO cannulation is a complex but critical aspect of patient management.
  • Understanding cannulation and decannulation techniques is essential for successful ECMO implementation.
  • Advances in cannula technology have significantly impacted neonatal ECMO practices.