Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

302
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....
302
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

403
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...
403
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

72
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...
72
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

336
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...
336
Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

513
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...
513
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

110
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:
110

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Cranial Neuropathies Associated With Pediatric Brain Tumors: Evaluation of Pediatric Otolaryngology Referral Patterns and Interventions.

Cureus·2026
Same author

Are CT-Based Commercial Dental Splints Useful in Pediatric Facial Trauma?

The Laryngoscope·2026
Same author

Primary Language Spoken at Home and Speech Outcomes Among Children With Cleft Palate.

The Laryngoscope·2026
Same author

Optimizing Neonatal Ear Molding: Are Commercial Systems Superior to Classic Methods?

The Laryngoscope·2026
Same author

Does Early Bone Conduction Hearing Device Use Offer Benefit in Unilateral Congenital Aural Atresia?

The Laryngoscope·2026
Same author

Establishing New Pediatric Thresholds for Digits-In-Noise Testing.

Laryngoscope investigative otolaryngology·2025

Related Experiment Video

Updated: May 21, 2025

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
03:58

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes

Published on: August 2, 2024

522

Outcomes Following Single-Stage Laryngotracheal Reconstruction Using a "No Look" Extubation Philosophy.

Andrew R Scott1,2, David O Danis1, Andrea B Clinch3

  • 1Dr. Elie E. Rebeiz Department of Otolaryngology-Head and Neck Surgery, Tufts Medical Center, Boston, Massachusetts, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|March 19, 2025
PubMed
Summary

The "no look" approach to single-stage laryngotracheal reconstruction (SSLTR) in children may avoid extra surgeries. This method shows good short-term and long-term results, making it a safe option for select patients.

Keywords:
airway reconstructionoutcomespediatricsubglottic stenosistracheal reconstructiontracheal stenosis

More Related Videos

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

484
The Rigid Tube as an Alternative in Controlling the Problematic Airway
08:26

The Rigid Tube as an Alternative in Controlling the Problematic Airway

Published on: June 6, 2020

6.3K

Related Experiment Videos

Last Updated: May 21, 2025

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
03:58

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes

Published on: August 2, 2024

522
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

484
The Rigid Tube as an Alternative in Controlling the Problematic Airway
08:26

The Rigid Tube as an Alternative in Controlling the Problematic Airway

Published on: June 6, 2020

6.3K

Area of Science:

  • Pediatric Otolaryngology
  • Airway Reconstruction Surgery
  • Pediatric Critical Care

Background:

  • Single-stage laryngotracheal reconstruction (SSLTR) is a complex procedure for pediatric airway stenosis.
  • The traditional approach often involves planned postoperative intubation and early endoscopic inspection.
  • The
  • no look
  • philosophy defers operative airway inspection unless clinically indicated.

Purpose of the Study:

  • To evaluate clinical outcomes of SSLTR performed with a
  • no look
  • philosophy.
  • To determine if this approach impacts short-term and long-term results.
  • To assess the rate of secondary interventions and complications.

Main Methods:

  • A retrospective case series with chart review was conducted at two tertiary children's hospitals.
  • 47 patients undergoing primary or revision SSLTR were included.
  • Postoperative management involved planned extubation in the pediatric intensive care unit (PICU) without immediate airway inspection.

Main Results:

  • The overall failure rate after extubation was 4%, with a significantly higher rate in revision cases (22%).
  • 23% of patients required an unplanned return to the operating room for airway symptoms.
  • 47% of cases needed secondary endoscopic interventions, with a mean of 2.2 dilations when required.

Conclusions:

  • A
  • no look
  • philosophy in SSLTR can potentially avoid unnecessary surgical procedures.
  • This approach demonstrated favorable short-term and long-term clinical outcomes comparable to historical standards in select pediatric patients.
  • Careful patient selection is crucial for successful outcomes with the
  • no look
  • strategy.