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Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

385
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...
385
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

107
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...
107
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

404
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...
404
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

461
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
461
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

374
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
374
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

131
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:
131

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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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Long-term feeding outcomes after infant tracheostomy.

Elena Stekolchik1, Md Jobayer Hossain2, J Heather Northam3

  • 1Division of Pulmonology, Nemours Children's Health, Wilmington, DE, USA. Elena.Stekolchik@nemours.org.

Journal of Perinatology : Official Journal of the California Perinatal Association
|January 17, 2025
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Summary

Infants needing a tracheostomy before age one often have long-term feeding tube dependence. Many still require feeding support by age five, highlighting significant feeding impairments.

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Area of Science:

  • Pediatric Gastroenterology
  • Neonatology
  • Pediatric Otolaryngology

Background:

  • Infants requiring tracheostomy often experience feeding difficulties.
  • Understanding long-term feeding outcomes is crucial for comprehensive care.

Purpose of the Study:

  • To evaluate feeding outcomes in infants who underwent tracheostomy before their first birthday.
  • To identify factors associated with persistent feeding tube dependence.

Main Methods:

  • Retrospective review of feeding outcomes.
  • Cohort of infants undergoing tracheostomy over a 16-year period.
  • Assessment at initial hospital discharge and age 5.

Main Results:

  • 145 infants included; 117 were feeding tube dependent at discharge, 71 at age 5.
  • Factors associated with feeding tube dependence at age 5 included cardiovascular comorbidities, long-term tracheostomy dependence, higher birth weight, older age at decannulation, and older gestational age.
  • Significant feeding impairment persists into early childhood.

Conclusions:

  • Infants requiring tracheostomy demonstrate a high prevalence of feeding impairment at age 5.
  • Early identification and management of feeding issues are critical for this population.