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Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

79
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...
79
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

112
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:
112
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

98
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...
98
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

347
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...
347
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

254
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
254
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

143
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...
143

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Related Experiment Video

Updated: May 23, 2025

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model
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Myiasis in the Neglected Tracheostomy Wound.

Tee Shao Peng1,2, Hazama Mohamad1,2, Kuhan Kanagaratnam1,2

  • 11Department of Otorhinolaryngology, Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.

Oman Medical Journal
|March 10, 2025
PubMed
Summary

Myiasis is a dipteran larvae infestation of living tissue. This case highlights maggot infestation in a tracheostomy wound, emphasizing the need for prompt diagnosis and treatment of this serious condition.

Keywords:
Keywords: Maggot InfestationsTracheostomyWound Infection

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Area of Science:

  • Medical Entomology
  • Infectious Diseases

Background:

  • Myiasis is defined as an infestation of living human or animal tissue by dipterous larvae (maggots).
  • It commonly affects individuals in unhygienic environments, often associated with neglected wounds or bodily discharge that attract flies.
  • Complications can be severe, including sepsis, hemorrhage, and organ dysfunction if maggots invade vital organs.

Observation:

  • A patient presented with a bleeding, foul-smelling tracheostomy wound.
  • Examination revealed the wound was infested with dipterous larvae (maggots).

Findings:

  • The case confirmed myiasis occurring in a tracheostomy wound.
  • Standard treatment protocols for myiasis were initiated.

Implications:

  • This case underscores the importance of recognizing myiasis, even in clinical settings with advanced medical care.
  • Prompt identification and management are crucial to prevent severe complications associated with maggot infestation.
  • Maintaining wound hygiene is critical in preventing fly egg deposition and subsequent myiasis.