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Related Concept Videos

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.
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The Thyroid Gland01:23

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The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
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Tracheostomy Care II: Procedure01:25

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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.
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Tracheostomy Care I: Pre-procedural Steps01:16

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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.
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The Thoracic Cage: Sternum01:17

The Thoracic Cage: Sternum

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The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
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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: Aug 12, 2025

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
04:09

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter

Published on: September 20, 2024

355

Sternotomy in thyroid surgery

J Šafránek, V Třeška, V Soukupová

    Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
    |January 30, 2023
    PubMed
    Summary
    This summary is machine-generated.

    Extracervical approaches, including partial sternotomy, are considered for bulky retrosternal goiters. While not always predictable, sternotomy is necessary for goiters near or above the aortic arch, often requiring CT scans for surgical planning.

    Keywords:
    goitersternotomysubsternalthyroidectomy

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    Area of Science:

    • Surgery
    • Endocrinology
    • Thoracic Surgery

    Background:

    • Bulky retrosternal goiters often necessitate extracervical surgical approaches.
    • Partial sternotomy is a common extracervical method for managing extensive thyroid masses extending into the chest.

    Purpose of the Study:

    • To retrospectively evaluate thyroid operations requiring sternotomy over a decade.
    • To identify predictors for the necessity of sternotomy in managing retrosternal goiters.

    Main Methods:

    • Retrospective analysis of 1254 thyroid operations performed between 2012 and 2021.
    • Focused evaluation on the 11 cases (0.88%) that required partial sternotomy.

    Main Results:

    • Partial sternotomy was required in 11 patients (mean age 73.1 years) for thyroidectomy or management of recurrent goiter.
    • Goiters requiring sternotomy were closely related to or overlapped with the aortic arch.
    • Hospitalization ranged from 5-14 days, with most procedures uncomplicated.

    Conclusions:

    • Sternotomy for thyroidectomy is associated with goiters extending to or above the aortic arch.
    • Preoperative CT scans are recommended for significant retrosternal goiter to assess surgical and anesthetic risks.
    • While precise prediction is difficult, preparedness for sternotomy is crucial for managing large retrosternal goiters.