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Related Concept Videos

Trachea01:22

Trachea

2.0K
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...
2.0K
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

164
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...
164
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

886
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...
886
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

556
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...
556
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

565
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,...
565
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

643
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....
643

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Related Experiment Video

Updated: Jun 30, 2025

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
07:22

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing

Published on: December 1, 2023

494

Tracheostomy-Related Swallowing Issues in Children.

Eileen M Raynor1, Daniel Wohl2

  • 1Department of Head and Neck Surgery & Communication Sciences, Duke Health System, DUMC Box 3805, Durham, NC 27710, USA.

Otolaryngologic Clinics of North America
|March 20, 2024
PubMed
Summary

Children with tracheostomies face swallowing difficulties due to the tube impacting mechanics and sensation. Occluding the tracheostomy with a speaking valve or cap can improve swallowing outcomes and oral feeding prognosis.

Keywords:
AspirationDecannulationDysphagiaPMVPediatric tracheostomyTracheostomy tube

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Area of Science:

  • Pediatric Medicine
  • Otolaryngology
  • Speech-Language Pathology

Background:

  • Children with tracheostomies experience significant challenges in normal deglutition (swallowing).
  • Underlying neurologic or genetic conditions can predispose to dysphagia, but tracheostomy itself alters swallowing mechanics and sensation.
  • Pre-tracheostomy intubation can further impair upper aerodigestive tract sensation, increasing aspiration risk.

Purpose of the Study:

  • To investigate the impact of tracheostomy on swallowing function in children.
  • To explore the effectiveness of tracheostomy occlusion methods in improving swallowing and oral feeding outcomes.

Main Methods:

  • Review of swallowing function in pediatric patients with tracheostomies.
  • Analysis of the effects of tracheostomy tube presence on deglutition mechanics.
  • Evaluation of outcomes associated with tracheostomy occlusion using speaking valves or caps.

Main Results:

  • Tracheostomy tubes disrupt normal swallowing mechanics, affecting the ability to manage various food consistencies and oral secretions.
  • Impaired sensation in the upper aerodigestive tract post-intubation heightens the risk of aspiration.
  • Occlusion of the tracheostomy, via speaking valve or cap, demonstrated positive effects on swallowing function.

Conclusions:

  • Tracheostomy significantly complicates swallowing in children, irrespective of comorbidities.
  • Interventions like speaking valves or caps are crucial for improving swallowing and facilitating oral feeding in this population.