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Related Concept Videos

Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

185
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:
185
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

172
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...
172
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

551
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...
551
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

161
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...
161
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

560
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,...
560
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

874
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...
874

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Related Experiment Video

Updated: Jun 30, 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

580

Update on pediatric tracheostomy.

Manabu Komori1

  • 1Department of Otolaryngology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki-city, Kanagawa, Japan.

Auris, Nasus, Larynx
|March 23, 2024
PubMed
Summary

Pediatric tracheostomy, a procedure performed on infants and children, has evolved significantly. Advances in surgical techniques and post-operative care have reduced complications, improving outcomes for young patients requiring this intervention.

Keywords:
Cannula managementComplicationsDecannulation

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Area of Science:

  • Pediatric Surgery
  • Otolaryngology
  • Neonatal Medicine

Background:

  • Pediatric tracheostomy has a long history, with increasing application in neonates due to medical advancements.
  • Surgical techniques and postoperative care have improved, leading to fewer complications.

Purpose of the Study:

  • To provide a comprehensive review of pediatric tracheostomy.
  • To cover the entire process from history to decannulation.
  • To emphasize the importance of long-term care and multidisciplinary involvement.

Main Methods:

  • Literature review of pediatric tracheostomy history.
  • Discussion of indications, contraindications, and surgical techniques (slit, Björk, EXIT).
  • Analysis of complications, tube management, and decannulation strategies.

Main Results:

  • Pediatric tracheostomy is increasingly performed at younger ages.
  • Improved surgical and postoperative management has reduced complication rates.
  • Long-term care and decannulation require specialized expertise.

Conclusions:

  • A thorough understanding of pediatric tracheostomy is crucial for healthcare professionals.
  • Multidisciplinary collaboration enhances long-term care and outcomes for children with tracheostomies.
  • Sharing knowledge facilitates better management and decannulation processes.