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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

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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

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Tracheostomy Outcomes on Trauma Patients.

Edgar Del Toro-Diez1, Camila S Ríos De Choudens1, Shayanne A Lajud1,2

  • 1Department of Otolaryngology-Head and Neck Surgery, School of Medicine University of Puerto Rico San Juan Puerto Rico USA.

OTO Open
|April 28, 2023
PubMed
Summary
This summary is machine-generated.

Open tracheostomy (OT) may lead to fewer long-term complications than percutaneous tracheostomy. Smaller initial tracheostomy tube sizes (ITTS) are linked to reduced abnormal findings, suggesting improved patient outcomes in trauma care.

Keywords:
Puerto Rico Medical Centerdecannulationopen surgical tracheostomypercutaneous dilatational tracheostomytracheal stenosistracheostomy complicationstracheostomy tube size

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Area of Science:

  • Trauma Surgery
  • Otolaryngology
  • Critical Care Medicine

Background:

  • Tracheostomies are crucial interventions for trauma patients, yet approaches vary, and complications can arise.
  • Standardizing procedures is essential for improving patient outcomes in trauma care.

Purpose of the Study:

  • To identify complications associated with tracheostomies in trauma patients at a Level I Trauma Center.
  • To establish a foundation for developing guidelines to enhance patient outcomes.

Main Methods:

  • A retrospective cross-sectional study reviewed 113 adult trauma patient charts from 2018-2020.
  • Data included demographics, surgical approach, initial tracheostomy tube size (ITTS), intubation period, and laryngoscopic findings.
  • Statistical analyses included chi-squared, Fisher's exact test, and Wilcoxon-Mann-Whitney U test.

Main Results:

  • Open tracheostomy (OT) was associated with fewer long-term complications compared to the percutaneous approach.
  • Abnormal airway findings were more frequent in the percutaneous group (43 patients) than the OT group (30 patients).
  • Peristomal granulation tissue was significantly more common with ITTS 8 (10 patients) than ITTS 6 (1 patient).

Conclusions:

  • The open tracheostomy approach may be associated with better long-term outcomes in trauma patients.
  • Smaller initial tracheostomy tube sizes (e.g., ITTS-6) appear to reduce the incidence of peristomal complications.