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Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

411
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...
411
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

500
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...
500
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

135
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:
135
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

115
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...
115
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

119
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...
119
Trachea01:22

Trachea

1.6K
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...
1.6K

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Related Experiment Video

Updated: Jun 6, 2025

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
04:43

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

Published on: March 15, 2024

523

Tracheostomy: update on why, when and how.

Giulia Lais1,2, Lise Piquilloud1

  • 1Adult Intensive Care Unit, University Hospital and University of Lausanne, Lausanne, Switzerland.

Current Opinion in Critical Care
|November 26, 2024
PubMed
Summary
This summary is machine-generated.

Tracheostomy in intensive care unit (ICU) patients can aid weaning and improve comfort but does not reduce mortality. An individualized approach is crucial for optimal timing and technique, balancing benefits against potential complications like tracheal stenosis.

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Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease
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Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model
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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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Published on: March 15, 2024

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Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease
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Area of Science:

  • Critical Care Medicine
  • Respiratory Therapy
  • Surgical Procedures

Background:

  • Tracheostomy is considered for ICU patients with prolonged mechanical ventilation or impaired airway protection.
  • The procedure offers benefits such as improved weaning, reduced sedation, and enhanced patient comfort.
  • However, it is associated with potential early and late complications, including tracheal stenosis.

Purpose of the Study:

  • To review current data on tracheostomy in ICU settings.
  • To inform the development of optimal strategies for tracheostomy use.
  • To guide decision-making for prolonged mechanical ventilation and airway protection deficits.

Main Methods:

  • Comprehensive literature review of recent data.
  • Analysis of evidence regarding tracheostomy timing and techniques.
  • Evaluation of patient-specific factors influencing tracheostomy decisions.

Main Results:

  • Tracheostomy facilitates ventilator weaning, reduces work of breathing, and increases patient comfort, allowing for decreased sedation.
  • The procedure aids in secretion management, enables earlier phonation, oral intake, and mobilization.
  • Tracheostomy does not decrease mortality but carries risks of early and late complications, notably tracheal stenosis.

Conclusions:

  • An individualized, step-by-step approach, guided by evidence, is essential for determining the best tracheostomy strategy in ICU patients.
  • Personalized assessment is key to balancing the benefits of early intervention with the risks of unnecessary procedures.
  • The percutaneous single dilator technique under fibroscopic guidance is recommended when feasible and the team is adequately trained.