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Tracheostomy Care II: Procedure

Tracheostomy Care II: Procedure

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...

Trachea

Trachea

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...

Tracheostomy: Procedure and Tubes

Tracheostomy: Procedure and Tubes

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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Tracheostomy Decannulation

Tracheostomy Decannulation

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...

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...

Tracheostomy Suctioning II: Procedure

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Related Experiment Video

Updated: Aug 8, 2025

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model

Published on: April 1, 2019

Tracheal or bronchial wedge resection: Case report.

Zhenhua Jiao¹, Zhe Tang¹, Jun Yu¹

¹Department of Thoracic Surgery, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, China.

Frontiers in Surgery

|March 3, 2023

Summary

Tracheal or bronchial wedge resection is a superior minimally invasive surgical option for select tumors. Video-assisted thoracoscopic wedge resection offers excellent outcomes for primary airway tumors.

Keywords:

case report parenchymal sparing procedure tracheal or bronchial tumor tracheal or bronchial wedge resection videoassisted thoracoscopic surgery

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Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease

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Author Spotlight: Investigating the Key Factors of Obliterative Bronchiolitis After Lung Transplantation

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Last Updated: Aug 8, 2025

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model

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Published on: April 1, 2019

Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease

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Published on: January 20, 2010

Author Spotlight: Investigating the Key Factors of Obliterative Bronchiolitis After Lung Transplantation

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Area of Science:

Thoracic Surgery
Minimally Invasive Surgery
Pulmonology

Background:

Primary tracheal and bronchial tumors are uncommon.
Sleeve resection is a standard surgical approach.
Thoracoscopic wedge resection is an alternative for specific tumors.

Observation:

A case of single-incision video-assisted bronchial wedge resection for a left main bronchial hamartoma was performed.
The tumor size was 7x5x5mm.
The patient recovered well with no complications.

Findings:

The patient was discharged in 6 days.
No postoperative discomfort was reported during 6-month follow-up.
Fiberoptic bronchoscopy showed no incision stenosis.

Implications:

Tracheal or bronchial wedge resection is a superior technique in appropriate cases.
Video-assisted thoracoscopic wedge resection represents a promising direction in minimally invasive bronchial surgery.