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Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

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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.
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Tracheostomy Care I: Pre-procedural Steps01:16

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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.
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Tracheostomy Care II: Procedure01:25

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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.
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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.
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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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Endotracheal Intubation II: Nursing Management01:17

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Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
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Nursing care protocol for critical users with tracheostomy under mechanical ventilation.

Fernando Conceição de Lima1, Wagner Felipe Dos Santos Neves2, André Lucas de Lima Dias1

  • 1Universidade do Estado do Pará. Belém, Pará, Brazil.

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Summary

This study developed a nursing care protocol for critically ill patients with tracheostomy requiring mechanical ventilation. The protocol aims to standardize care and empower nursing professionals, emphasizing the need for supportive public policies.

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Area of Science:

  • Nursing Science
  • Critical Care Medicine
  • Health Management

Background:

  • Critically ill patients with tracheostomy require specialized nursing care.
  • Existing care practices may lack standardization, leading to educational demands among nursing professionals.
  • Mechanical ventilation adds complexity to tracheostomy care.

Purpose of the Study:

  • To develop and assess a nursing care protocol for critically ill users with tracheostomy under mechanical ventilation.
  • To address educational demands and standardize care for this patient population.
  • To enhance nursing professionals' empowerment in managing tracheostomy care.

Main Methods:

  • A methodological study conducted in two phases.
  • Utilized the 5W2H management tool for guidance.
  • Phase I: Target audience characterization; Phase II: Technology development.

Main Results:

  • Thirty-four nursing professionals participated, identifying educational needs.
  • Emphasis was placed on standardizing care through a protocol and continuing education.
  • The developed protocol and associated technologies aimed to meet these identified demands.

Conclusions:

  • The creation and validation of new care technologies improved nursing professional engagement.
  • Empowerment of nursing staff in institutional health actions was enhanced.
  • Highlighted the necessity for public policies supporting a comprehensive line of care for tracheostomy patients.