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Related Concept Videos

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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Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

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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.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
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Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

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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.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
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Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

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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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Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

227
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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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

210
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
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Learning Modern Laryngeal Surgery in a Dissection Laboratory
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Laryngeal office-based procedures: A safe approach.

R Bar1, A Mattei2, R Haddad3

  • 1ENT-HNS Department, Aix Marseille Univ, La Conception University Hospital, Marseille, France; ENT-HNS Department, Galilee Medical Center, Nahariya, Israel.

American Journal of Otolaryngology
|December 1, 2023
PubMed
Summary

Office-based flexible laryngoscopy under local anesthesia is a safe and well-tolerated procedure for various laryngeal interventions. Most patients tolerate these procedures well, with rare minor side effects, enabling outpatient care.

Keywords:
Benign vocal fold lesionsBiopsyIn-office proceduresLaserMedialization

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Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
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Area of Science:

  • Otolaryngology
  • Minimally Invasive Surgery
  • Office-Based Procedures

Background:

  • Flexible nasopharyngoscopes with operative channels enable a growing number of office-based laryngeal procedures.
  • Local anesthesia is increasingly used for these interventions, enhancing patient convenience.

Purpose of the Study:

  • To evaluate the tolerance of office-based laryngeal procedures performed using a flexible nasopharyngoscope under local anesthesia.
  • To analyze the safety and feasibility of these ambulatory interventions.

Main Methods:

  • A retrospective cohort study of 337 cases performed over two years.
  • Data collected included pathology type, procedure type, anesthesia modalities, and adverse events.

Main Results:

  • Procedures included biopsies (19%), injections (65%), and laser use (12%) for various laryngeal pathologies.
  • Minor adverse events (7.7%) included cough, pain, and gag reflex; severe events were rare.
  • Only 13 procedures were aborted due to intolerance, with 97% discharged home after surveillance.

Conclusions:

  • Office-based flexible interventional laryngoscopy under local anesthesia is safe and well-tolerated.
  • A wide range of laryngeal interventions can be successfully performed in an ambulatory setting.