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Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

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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...
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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.
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Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
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Tracheostomy Care II: Procedure01:25

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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.
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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.
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Endotracheal Tube Extubation01:24

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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.
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Related Experiment Video

Updated: Jul 26, 2025

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
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A novel simulation model for tube thoracostomy.

Sarkis Kouyoumjian1, Marc-Anthony Velilla1, James H Paxton1

  • 1Department of Emergency Medicine, Wayne State University School of Medicine, Detroit, MI, USA.

SAGE Open Medicine
|June 16, 2023
PubMed
Summary

This study presents a low-cost, realistic simulation model for tube thoracostomy training using readily available materials. The porcine model offers a cost-effective alternative for emergency medicine education, improving procedural skills.

Keywords:
Educationchest tubepneumothoraxsimulationteachingthoracostomytraining

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Area of Science:

  • Medical Simulation
  • Emergency Medicine Training
  • Surgical Skills Development

Background:

  • Tube thoracostomy is a critical emergency procedure requiring proficient skill.
  • Existing simulation models can be prohibitively expensive for widespread training.
  • Need for accessible and realistic training tools in emergency medicine.

Purpose of the Study:

  • To develop a simple, reproducible, and cost-effective simulation model for tube thoracostomy.
  • To provide an alternative to expensive commercial training mannequins.
  • To facilitate hands-on learning of key anatomical landmarks and procedural steps.

Main Methods:

  • Utilized pork rib slabs with intercostal muscles to mimic human anatomy.
  • Constructed a simulator using a plastic hamper, pillow (for lung simulation), and common materials.
  • Secured rib slabs and wrapped the complex to simulate skin and subcutaneous tissues.

Main Results:

  • The model's initial cost is approximately $50, significantly lower than commercial alternatives ($1,000-$3,000).
  • Cost per attempt is approximately $1.78, compared to $4.00 for the cheapest commercial system.
  • The model is easily reproducible and utilizes commonly available materials.

Conclusions:

  • A porcine-based simulation model for tube thoracostomy is feasible, realistic, and inexpensive.
  • This model can be used for training in tube thoracostomy, thoracentesis, and thoracotomy.
  • Further research is needed to validate its educational efficacy compared to commercial models.