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Related Concept Videos

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

Oxygen Delivering System III: Tracheostomy and T-piece

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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.
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...
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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...
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Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

239
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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Related Experiment Video

Updated: Jun 29, 2025

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
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[Curriculum "Tracheostomy management in dysphagia therapy"].

C Ledl1,2, U Frank3,4, R Dziewas3,5,6,7

  • 1Deutsche interdisziplinäre Gesellschaft für Dysphagie, München, Deutschland. cledl@schoen-klinik.de.

HNO
|April 5, 2024
PubMed
Summary

The increasing number of tracheotomized patients with dysphagia necessitates standardized treatment. A new curriculum for tracheostomy management (TM) aims to improve speech and language therapist (SLT) training and patient care.

Keywords:
DecannulationDysphagiaTracheal cannulaTracheostomyWeaning

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Area of Science:

  • Medicine
  • Speech and Language Therapy
  • Healthcare Management

Background:

  • Rising prevalence of dysphagia in tracheostomized patients in clinical and community settings.
  • Regulatory requirements mandate regular evaluation of tracheostomized patients for therapeutic potential post-discharge.
  • Severe dysphagia significantly hinders decannulation, highlighting the critical need for effective treatment.

Purpose of the Study:

  • To address the gap in obligatory tracheostomy management (TM) training for speech and language therapists (SLTs).
  • To establish standardized postgraduate training and qualification criteria for TM.
  • To ensure high-quality care and treatment standards for tracheostomized patients with dysphagia.

Main Methods:

  • Development of a postgraduate curriculum for TM by the German Interdisciplinary Society for Dysphagia (DGD) and collaborating societies.
  • Definition of theoretical and practical TM content.
  • Establishment of qualification levels (user and trainer), entry requirements, and examination criteria.

Main Results:

  • A comprehensive TM curriculum has been developed.
  • The curriculum outlines clear content, qualification levels, and assessment methods.
  • It provides a framework for therapist qualification and delegation of medical services.

Conclusions:

  • The new TM curriculum provides a standardized educational framework for SLTs.
  • It aims to enhance the quality of care and treatment outcomes for tracheostomized patients with dysphagia.
  • This initiative supports the professional development of SLTs in TM, ensuring adherence to current standards.