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Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

518
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...
518
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

148
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...
148
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

175
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:
175
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

791
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...
791
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

157
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...
157
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

513
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,...
513

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Related Experiment Video

Updated: Jun 24, 2025

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
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Tracheostomy Incidence and Complications: A National Database Analysis.

William Strober1, Dorina Kallogjeri1, Jay F Piccirillo1

  • 1Department of Otolaryngology, Washington University School of Medicine, St. Louis, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|June 1, 2024
PubMed
Summary

Tracheostomy complications are common, affecting 10.3% of patients. Sicker individuals with higher comorbidity scores face increased risks, highlighting the need for targeted interventions and improved patient counseling.

Keywords:
complicationsepidemiologynational databasetracheostomytracheotomy

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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
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Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
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Area of Science:

  • Medical research
  • Surgical outcomes
  • Health services research

Background:

  • Tracheostomy is a common procedure with potential complications.
  • Understanding the incidence and risk factors for these complications is crucial for improving patient care.

Purpose of the Study:

  • To determine the incidence of tracheostomy-related complications.
  • To identify prognostic factors associated with an increased risk of complications.

Main Methods:

  • Analysis of a national administrative database (PearlDiver) of insurance claims.
  • Inclusion of outpatient and inpatient records from Medicare, Medicaid, and commercial insurance.
  • Identification of tracheostomies and associated complications using CPT and ICD-9/ICD-10 codes from January 2010 to October 2021.

Main Results:

  • A total of 198,143 tracheostomies were analyzed, with 10.3% experiencing at least one complication within 90 days.
  • Complication rates increased significantly from 2010 to 2019.
  • Risk factors included hospital region (Midwest higher), provider specialty (otolaryngologists higher), insurance type (Medicaid higher), and Elixhauser Comorbidity Index (higher scores associated with higher risk).

Conclusions:

  • Tracheostomy complications are frequent, with a notable increase in incidence over time.
  • Patients with higher comorbidity burdens are at a significantly greater risk.
  • Identifying these risk factors can enhance patient counseling, guide quality improvement efforts, and inform future research on tracheostomy outcomes.