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Related Concept Videos

Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

152
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:
152
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

140
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...
140
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

149
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...
149
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

480
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...
480
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

445
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,...
445
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

665
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...
665

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Related Experiment Video

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Low-Resource Hospital Days for Children Following New Tracheostomy.

Cara A Cecil1, Adam C Dziorny2, Matt Hall3

  • 1Ann and Robert H. Lurie Children's Hospital of Chicago; Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Pediatrics
|August 8, 2024
PubMed
Summary

Low-resource days (LRDs) are common for children needing tracheostomy and mechanical ventilation. Younger age, early tracheostomy, Asian race, and longer hospital stays increase LRD risk, impacting transitional care resource utilization.

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Area of Science:

  • Pediatric critical care medicine
  • Healthcare resource utilization
  • Transitional care models

Background:

  • Children requiring tracheostomy and invasive mechanical ventilation (IMV) need specialized transitional care.
  • Understanding hospital resource use during this phase is crucial for optimizing patient care and operational efficiency.

Purpose of the Study:

  • To define and characterize low-resource days (LRDs) in pediatric patients with new tracheostomy and IMV.
  • To identify factors associated with the occurrence of LRDs in this population.

Main Methods:

  • Retrospective cohort analysis of children (≤21 years) with new tracheostomy and IMV dependence (2017-2022).
  • Utilized the Pediatric Health Information System database.
  • Defined LRDs as post-tracheostomy days with non-room charges <10% of postoperative day 1 charges; analyzed factors using negative binomial regression.

Main Results:

  • Among 4048 children, 38.6% experienced ≥1 LRD and 16.4% experienced ≥7 LRDs.
  • Younger age at tracheostomy, Asian race, early tracheostomy, and longer post-tracheostomy hospitalizations were associated with increased LRDs.
  • Median post-tracheostomy stay was 69 days.

Conclusions:

  • Nearly 1 in 6 children experienced 7 or more LRDs, indicating a significant occurrence.
  • Key factors associated with LRDs include younger age, early tracheostomy, Asian race, and prolonged hospital stays.
  • Findings highlight the need to explore innovative care models for children with IMV dependence, focusing on the post-acute phase and bed utilization.