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Related Concept Videos

Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

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Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
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Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

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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.
Required Equipment
The equipment necessary for tracheostomy care includes:
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Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

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In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
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Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

748
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
748
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

375
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
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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...
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Related Experiment Video

Updated: Jul 31, 2025

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
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Practice patterns in revision dacryocystorhinostomy.

Alexander Gerard Nino L Gungab1, Emmanuel Lee Boniao1, Blanche Xiao Hong Lim1

  • 1Department of Ophthalmology, National University Hospital, Singapore.

Orbit (Amsterdam, Netherlands)
|May 8, 2023
PubMed
Summary
This summary is machine-generated.

Oculoplastic surgeons globally prefer nasal endoscopy for revision dacryocystorhinostomy (RevDCR) evaluations and endoscopic approaches for surgery. Most use anti-metabolites and stents, reporting good outcomes for RevDCR.

Keywords:
DCRSurveylacrimalpractice patternrevision dacryocystorhinostomy

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Area of Science:

  • Ophthalmology
  • Oculoplastics
  • Surgical Techniques

Background:

  • Revision dacryocystorhinostomy (RevDCR) addresses failed primary surgeries for nasolacrimal duct obstruction.
  • Understanding current global practice patterns is crucial for standardizing RevDCR procedures.

Purpose of the Study:

  • To survey oculoplastic surgeons worldwide regarding their practice patterns for revision dacryocystorhinostomy (RevDCR).
  • To identify preferred pre-operative evaluations, surgical techniques, and intraoperative choices in RevDCR.

Main Methods:

  • A global survey of 137 oculoplastic surgeons using 41 questions on Google Forms.
  • Data collected on practice profiles, evaluation methods, surgical techniques, and follow-up preferences for RevDCR.
  • Responses analyzed to identify trends in revision dacryocystorhinostomy practices.

Main Results:

  • Nasal endoscopy (66.9%) and lacrimal irrigation (91.2%) were common pre-operative evaluations.
  • Most surgeons used anti-metabolites (73.3%) and stents (96.4%) during RevDCR.
  • Endoscopic approach (44.5%) and general anesthesia with local infiltration (70.1%) were preferred; aggressive fibrosis was the main failure cause (84.6%).

Conclusions:

  • Global oculoplastic surgeons frequently utilize nasal endoscopy for pre-operative assessment in RevDCR.
  • Endoscopic surgical approaches, anti-metabolites, and stents are commonly preferred for revision dacryocystorhinostomy.
  • The study highlights a consensus on key aspects of RevDCR practice among experienced surgeons.