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Related Concept Videos

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

Oxygen Delivering System III: Tracheostomy and T-piece

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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...
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Tracheostomy Care II: Procedure01:25

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

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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.
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Tracheostomy: Procedure and Tubes01:28

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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.
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Tracheostomy Decannulation01:21

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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.
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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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Related Experiment Video

Updated: Jun 7, 2025

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
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Developing a tool for assessing and communicating the expected difficulty of performing a tracheostomy.

Jonathon Clymo1, Mike Dean2, Chris Lambert3

  • 1Department of Ear Nose and Throat Surgery, Imperial College Healthcare NHS Trust, London, UK.

Journal of the Intensive Care Society
|November 18, 2024
PubMed
Summary

Developing a standardized tool to assess tracheostomy difficulty is crucial for percutaneous procedures and surgical referrals. This new metric aids communication between intensive care and surgical teams.

Keywords:
Tracheostomyclinical assessment toolpercutaneous tracheostomysurgical tracheostomy

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Area of Science:

  • Anesthesiology
  • Surgical Sciences
  • Critical Care Medicine

Background:

  • Current lack of standardized guidelines for assessing tracheostomy difficulty hinders effective planning for percutaneous approaches in intensive care and surgical referrals.
  • This deficiency complicates interdisciplinary communication between critical care and surgical teams.

Purpose of the Study:

  • To develop a universally applicable tool for assessing and communicating the expected difficulty of tracheostomy procedures.
  • To create a common language and set of metrics for both intensive care and surgical specialists.

Main Methods:

  • A Delphi process was employed to achieve consensus among experts.
  • Key metrics relevant to both percutaneous and open tracheostomy approaches were identified and validated.

Main Results:

  • Several relevant metrics were identified, including palpable tracheal rings, history of anterior neck surgery or radiotherapy, uncorrectable clotting or platelet dysfunction, neck extension capability, and the presence of overlying vessels (visible, palpable, or on imaging).
  • These metrics are universally assessable by both intensive care and surgical teams.

Conclusions:

  • The developed tool provides a standardized method for assessing tracheostomy difficulty.
  • Implementation of this tool is expected to improve communication and planning between critical care and surgical specialties, ultimately enhancing patient care and procedural safety.