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Related Concept Videos

Trachea01:22

Trachea

1.8K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
1.8K
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

151
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:
151
Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

960
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
960
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

469
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...
469
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

138
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...
138
Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

481
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...
481

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Related Experiment Video

Updated: Jun 16, 2025

A Model of Self-limited Acute Lung Injury by Unilateral Intra-bronchial Acid Instillation
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A Model of Self-limited Acute Lung Injury by Unilateral Intra-bronchial Acid Instillation

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Algorithm for airway management in benign intra-tracheal lesions.

Nadine El Hadi1, Jad Hosri1, Tamam Tulimat2

  • 1Department of Otolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon.

Saudi Journal of Anaesthesia
|August 16, 2024
PubMed
Summary

Effective airway management for intra-tracheal lesions requires surgeon-anesthesiologist collaboration. A proposed algorithm considers lesion characteristics and respiratory risk, suggesting cardiopulmonary bypass or extracorporeal membrane oxygenation for severe cases.

Keywords:
Airway obstructionemergency ENTendoscopygeneral ENTtrachea

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Area of Science:

  • Thoracic Surgery
  • Anesthesiology
  • Respiratory Medicine

Background:

  • Intra-tracheal pathologies present significant airway management challenges.
  • Effective treatment necessitates multidisciplinary collaboration between surgeons and anesthesiologists.

Observation:

  • Retrospective analysis of two patients with intra-tracheal lesions treated by the same surgeon.
  • Key factors influencing airway management include tumor size, location, rigidity, and remaining tracheal lumen.

Findings:

  • Close collaboration is crucial for managing patients with intra-tracheal lesions.
  • Cardiopulmonary bypass or extracorporeal membrane oxygenation may be necessary for near-complete tracheal obstruction.
  • A pilot algorithm for airway management of intra-tracheal lesions is proposed.

Implications:

  • The proposed algorithm requires further validation with a larger patient cohort.
  • This study highlights the importance of tailored airway management strategies for intra-tracheal lesions.
  • Further research can refine protocols for improved patient outcomes in complex airway cases.