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Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

541
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...
541
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

861
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...
861
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

184
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:
184
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

170
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...
170
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

159
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...
159
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

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Updated: Jun 28, 2025

Guidelines for Elective Pediatric Fiberoptic Intubation
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Guidelines for Elective Pediatric Fiberoptic Intubation

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Pediatric Tracheostomy Year in Review.

L Denise Willis1

  • 1Respiratory Care Services, Arkansas Children's Hospital, Little Rock, Arkansas WillisLD@archildrens.org.

Respiratory Care
|April 16, 2024
PubMed
Summary

Pediatric tracheostomy care requires specialized training for caregivers to manage emergencies like tube obstruction. Simulation training can improve preparedness, but knowledge gaps remain in managing respiratory illness and decannulation for better child outcomes.

Keywords:
caregiver educationdecannulationinhaled antibioticspediatricpolysomnogramprotocolsreadmissionrespiratory infectionsimulation trainingtracheostomy

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Area of Science:

  • Pediatric critical care
  • Respiratory medicine
  • Medical simulation

Background:

  • Tracheostomized children face higher mortality and life-threatening risks due to unique anatomical and medical complexities.
  • Caregiver training is crucial before discharge but lacks hands-on experience for emergency preparedness.
  • Readmissions and emergency department visits are frequent, often linked to respiratory issues.

Purpose of the Study:

  • To highlight the challenges in pediatric tracheostomy care and identify areas for research.
  • To underscore the need for improved caregiver training and standardized management protocols.
  • To address knowledge gaps in managing tracheostomy-related respiratory illness and decannulation.

Main Methods:

  • Review of current practices and challenges in pediatric tracheostomy management.
  • Analysis of the role of simulation in caregiver training for tracheostomy emergencies.
  • Identification of existing guidelines and evidence gaps in respiratory illness management and decannulation.

Main Results:

  • Simulation training shows promise in enhancing caregiver knowledge and comfort with tracheostomy emergencies.
  • Lack of standardized guidelines for managing tracheostomy-related respiratory illness and decannulation protocols.
  • Unresolved questions regarding routine polysomnography before decannulation.

Conclusions:

  • Significant knowledge gaps exist in the management of pediatric tracheostomy.
  • Further research is needed to develop evidence-based guidelines for respiratory illness and decannulation.
  • Improving caregiver training and management protocols can enhance outcomes for tracheostomized children.