Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

279
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...
279
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

812
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...
812
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

1.5K
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...
1.5K
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

276
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:
276
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

275
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...
275
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

965
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....
965

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same authorSame journal

Phenotypic and Polysomnographic Features of Children With Very Severe and Extreme OSA.

The Laryngoscope·2026
Same author

Provenance, Not Prohibition: A Framework for AI in Scholarly Publishing.

Laryngoscope investigative otolaryngology·2026
Same author

Cochlear Implants and Electrocautery: A Live Animal Model.

The Laryngoscope·2026
Same author

Predicting and preventing tracheostomy risk in pediatrics: Development and pilot testing of a focused assessment tool.

International journal of pediatric otorhinolaryngology·2026
Same author

Identifying High-Risk Children Safe for Same-Day Discharge After Tonsillectomy.

The Laryngoscope·2026
Same author

The Effect of Adenotonsillectomy on Sleep Efficiency in Pediatric Patients.

Laryngoscope investigative otolaryngology·2026

Related Experiment Video

Updated: Aug 1, 2025

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
04:43

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

Published on: March 15, 2024

674

Survival After Declining Pediatric Tracheostomy Placement.

Palmila Liu1, Rebecca L Brooks2, Candice H Bailey2

  • 1Department of Otolaryngology - Head & Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

The Laryngoscope
|April 25, 2023
PubMed
Summary

Caregivers declining tracheostomy for critically ill children resulted in significantly higher mortality rates. Factors like younger age, sepsis, and intubation influenced survival outcomes in these pediatric patients.

Keywords:
declining tracheostomymortalitypalliative carepediatric tracheostomy

More Related Videos

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
10:06

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy

Published on: May 18, 2019

5.6K
Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model
09:57

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

Published on: April 1, 2019

7.3K

Related Experiment Videos

Last Updated: Aug 1, 2025

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
04:43

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

Published on: March 15, 2024

674
Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
10:06

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy

Published on: May 18, 2019

5.6K
Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model
09:57

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

Published on: April 1, 2019

7.3K

Area of Science:

  • Pediatric critical care medicine
  • Surgical outcomes in children
  • Patient and family decision-making in healthcare

Background:

  • Tracheostomy placement is a critical decision for critically ill children requiring prolonged mechanical ventilation.
  • Caregiver preferences significantly influence treatment pathways, including the decision for tracheostomy.
  • Understanding survival implications of declining tracheostomy is vital for informed consent and care planning.

Purpose of the Study:

  • To evaluate the survival rates of critically ill children whose caregivers declined tracheostomy placement.
  • To identify factors associated with mortality in pediatric patients who did not undergo tracheostomy.
  • To provide data to aid families in the complex decision-making process regarding tracheostomy.

Main Methods:

  • A retrospective cohort study included children under 18 years who had a pre-tracheostomy consultation.
  • Data on comorbidities and mortality were compared between children whose caregivers declined tracheostomy versus those who agreed.
  • Statistical analyses, including odds ratios and hazard ratios, were used to assess mortality risk.

Main Results:

  • Mortality was substantially higher (52%) in children whose caregivers declined tracheostomy compared to those who agreed (21%).
  • Factors associated with increased mortality in the declining group included sepsis and intubation.
  • Median survival after declining tracheostomy was 31.9 months, with declining placement linked to a fourfold increased mortality risk.

Conclusions:

  • Declining tracheostomy placement is associated with a significantly increased risk of mortality in critically ill children.
  • Specific clinical factors such as sepsis and intubation are critical predictors of poor outcomes in this population.
  • The findings underscore the importance of comprehensive counseling for families facing decisions about pediatric tracheostomy.