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Related Concept Videos

Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

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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.
Required Equipment
The equipment necessary for tracheostomy care includes:
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Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

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In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Tracheostomy Suctioning I: Pre-Procedural Steps01:26

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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
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Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

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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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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
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Improving Laryngeal Procedure Workflow: Moving From the Operating Room to the Outpatient Setting.

Jie Lily Huang1, Hesham Khalid2, Krizzia Angelaine Biaco Alvaran1

  • 1ENT Department, Guy's and St Thomas's NHS Foundation Trust, London, UK.

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|October 26, 2024
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Summary

Establishing an office-based laryngology clinic improves patient access and efficiency. This innovative approach addresses the growing backlog of ear, nose, and throat (ENT) care by offering clinical and economic benefits.

Keywords:
health policylaryngeal electromyographylaryngologyquality improvementvoice disorders

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Area of Science:

  • Otolaryngology
  • Healthcare Management

Background:

  • Growing burden of laryngology diseases and increasing patient waiting lists in England.
  • Reduced ear, nose, and throat (ENT) theater capacity and efficiency.
  • Need for innovative strategies to manage the ENT care backlog, including separating elective and emergency services.

Purpose of the Study:

  • To explore the establishment of an office-based laryngology procedure clinic as a solution.
  • To provide a streamlined setup process for other ENT units based on institutional experience.
  • To assess the feasibility and benefits of in-office laryngology services.

Main Methods:

  • Narrative review and audit of experience in founding an in-office laryngology procedure service.
  • Exploration of necessary personnel, equipment, and processes.
  • Implementation within existing ENT elective and emergency service frameworks.

Main Results:

  • Successful function of the procedure clinic within existing ENT services.
  • Clinical and economic benefits outweigh initial investment costs.
  • Improved reliable and efficient patient access to investigations and treatments.

Conclusions:

  • In-office laryngology clinics offer significant patient, organizational, and economic advantages.
  • Provides a novel and resilient strategy for addressing the ENT care backlog.
  • Recommends popularization of these clinics in the current healthcare environment.