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Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

236
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...
236
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

716
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...
716
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

1.2K
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...
1.2K
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

685
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.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
685
Trachea01:22

Trachea

2.2K
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...
2.2K
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

772
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
772

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Related Experiment Video

Updated: Jul 17, 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

648

Outcomes of Tracheostomy on Burn Inhalation Injury.

Samuel Ruiz1, Salomon Puyana2, Mark McKenney1,3

  • 1Department of Surgery, HCA Florida - Kendall Hospital, Miami, Florida.

Eplasty
|September 4, 2023
PubMed
Summary
This summary is machine-generated.

Tracheostomy in burn patients with inhalation injury did not affect mortality but led to longer hospital stays and increased pneumonia risk. Further research is needed to clarify the impact of tracheostomy versus lung injury.

Keywords:
BurnsInhalation InjuryOutcomesTracheostomy

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Area of Science:

  • Burn care
  • Critical care medicine
  • Respiratory medicine

Background:

  • Tracheostomy is considered for patients requiring prolonged mechanical ventilation.
  • Burn inhalation injuries present unique challenges in airway management and respiratory support.

Purpose of the Study:

  • To evaluate the outcomes of tracheostomy in patients with burn inhalation injuries requiring mechanical ventilation.
  • To compare mortality, length of stay, and ventilator-associated pneumonia (VAP) rates between patients who underwent tracheostomy and those who did not.

Main Methods:

  • Retrospective review of burn patients from 2011 to 2019.
  • Inclusion criteria: documented inhalation injury, mechanical ventilation for ≥24 hours, and total body surface area <15%.
  • Patients stratified into tracheostomy (Group 1) and no tracheostomy (Group 2) groups; outcomes analyzed included mortality, ICU and hospital length of stay, ventilator days, and VAP incidence.

Main Results:

  • 33 patients met criteria (10 in Group 1, 23 in Group 2).
  • Tracheostomy group (Group 1) showed significantly longer ICU stay (23.8 vs. 3.16 days), hospital stay (28.4 vs. 5.26 days), and ventilator days (20.8 vs. 2.5 days).
  • No significant difference in mortality; however, VAP incidence was significantly higher in the tracheostomy group.

Conclusions:

  • Tracheostomy in this cohort was associated with prolonged hospital and ICU stays and increased VAP rates.
  • The study could not definitively separate the effects of tracheostomy from the severity of the underlying lung injury.
  • Optimal timing and impact of tracheostomy in burn inhalation injury patients require further investigation.