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Related Concept Videos

Ostomy Care01:24

Ostomy Care

272
Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
272
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

172
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:
172
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
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 Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

509
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
509

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Updated: Jun 23, 2025

Long-Term Catheterization of the Intestinal Lymph Trunk and Collection of Lymph in Neonatal Pigs
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UK neonatal stoma practice: a population study.

Graciaa Singhal1, Rema Ramakrishnan2, Raph Goldacre3

  • 1Neonatal Medicine, School of Public Health, Imperial College London, London, UK.

Archives of Disease in Childhood. Fetal and Neonatal Edition
|June 19, 2024
PubMed
Summary
This summary is machine-generated.

UK neonates undergoing stoma surgery are numerous enough for a clinical trial. Stoma closure typically occurs around two months, influenced by infant stability, weight, and complications, indicating room for practice optimization.

Keywords:
GastroenterologyIntensive Care Units, NeonatalNeonatology

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Area of Science:

  • Pediatric Surgery
  • Neonatal Care
  • Clinical Trial Feasibility

Background:

  • Optimal timing for neonatal stoma closure remains undetermined.
  • Previous calls for a comparative trial of early versus late stoma closure exist.
  • Trial feasibility hinges on eligible patient population and stakeholder acceptance.

Purpose of the Study:

  • To assess current UK practices for neonatal stoma surgery.
  • To characterize neonates undergoing stoma formation and closure.
  • To determine the feasibility of a clinical trial on stoma closure timing.

Main Methods:

  • Retrospective cohort study utilizing three UK national databases (NNRD, BAPS-CASS, HES-APC).
  • Inclusion criteria: neonates undergoing stoma surgery (excluding anorectal malformations and Hirschsprung's disease).
  • Data analyzed for patient characteristics, stoma duration, and closure timing indicators (2011-2019).

Main Results:

  • A substantial cohort of 1830-2477 neonates identified across databases.
  • Median stoma duration ranged from 57 to 78 days.
  • Earlier closure (<9 weeks) associated with less preterm infants, higher birth weight, and increased stoma complications.

Conclusions:

  • Sufficient UK neonates undergo stoma formation to support a clinical trial.
  • Stoma closure is generally performed around 2 months post-formation.
  • Clinical stability, gestational age, weight, and stoma complications influence closure timing, suggesting optimization opportunities.