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Related Concept Videos

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
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
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
Trachea01:22

Trachea

2.3K
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...
2.3K
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
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

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Related Experiment Video

Updated: Aug 1, 2025

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
05:10

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

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Thyroid-split tracheostomy: short- and long-term outcomes.

Nir Tsur1,2, Ella Segal1,2, Eyal Yosefof1,2

  • 1Department of Otorhinolaryngology-Head & Neck Surgery, Rabin Medical Center, Beilinson Hospital, Petach Tikva, Israel.

Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-Facciale
|April 26, 2023
PubMed
Summary
This summary is machine-generated.

Thyroid-split tracheostomy offers comparable safety and complication rates to standard tracheostomy. While providing better surgical exposure, it shows a lower success rate for decannulation.

Keywords:
complicationsdecannulationthyroid splittracheostomy

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Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Patient Outcomes

Background:

  • Tracheostomy is a critical surgical procedure for airway management.
  • Standard tracheostomy involves thyroid cartilage retraction.
  • Thyroid-split tracheostomy is an alternative approach aiming for improved surgical access.

Purpose of the Study:

  • To compare the long-term outcomes of thyroid-split tracheostomy versus standard tracheostomy.
  • To evaluate intra-operative and post-operative complications, and functional outcomes.
  • To assess the safety and feasibility of the thyroid-split technique.

Main Methods:

  • Retrospective cohort study of adult patients undergoing tracheostomy (2010-2020).
  • Comparison of 140 thyroid-split tracheostomy patients with 354 standard tracheostomy patients.
  • Analysis of adverse events, hospitalization length, reoperation, and decannulation rates.

Main Results:

  • No significant differences in intra-operative or early post-operative complications, hospitalization duration, or early mortality/reoperation rates.
  • Thyroid-split group experienced more instances of non-decannulation.
  • Thyroid-split tracheostomy was associated with a longer operative time.

Conclusions:

  • Thyroid-split tracheostomy is a safe and feasible alternative to standard tracheostomy.
  • The technique provides enhanced surgical exposure with similar complication rates.
  • A notable drawback is a lower success rate for decannulation in the thyroid-split group.