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Related Concept Videos

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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Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

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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...
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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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Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

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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 Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

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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
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
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Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

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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.
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Related Experiment Video

Updated: Jun 3, 2025

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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Modified Technique for Difficult Secondary Tracheoesophageal Puncture.

Michelle Yoon1,2, Justin Joseph1,2, Ricardo Ramirez2,3

  • 1THANC (Thyroid, Head and Neck Cancer) Foundation, New York, New York, USA.

Head & Neck
|January 10, 2025
PubMed
Summary

This study presents a modified tracheoesophageal puncture (TEP) technique using flexible endoscopy for voice restoration in laryngectomy patients. The innovative method effectively restores voice, even in patients with challenging anatomy.

Keywords:
endotracheal tubetracheoesophageal puncturevoice prosthesis

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Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Voice Restoration

Background:

  • Tracheoesophageal puncture (TEP) with voice prosthesis (VP) is standard for voice restoration post-laryngectomy.
  • Conventional rigid esophagoscopy for TEP is difficult in patients with postradiation changes, limited neck mobility, or trismus.

Purpose of the Study:

  • To describe a modified TEP technique using flexible endoscopy for patients with difficult anatomy.
  • To demonstrate effective voice restoration in a challenging case.

Main Methods:

  • A modified TEP/VP placement technique utilizing flexible endoscopy and endotracheal tube.
  • Procedure performed under general anesthesia, including retrieval of a dislodged prosthesis.

Main Results:

  • Successful reestablishment of the TEP tract and VP placement.
  • Effective voice restoration achieved in the patient with a challenging anatomic profile.

Conclusions:

  • The modified flexible endoscopy technique offers a safe and effective alternative for TEP/VP placement.
  • This approach is particularly beneficial for patients with difficult exposure and complex anatomy.