Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Endotracheal Intubation I: Procedure

Endotracheal Intubation I: Procedure

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...

Tracheostomy: Procedure and Tubes

Tracheostomy: Procedure and Tubes

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...

Tracheostomy Care I: Pre-procedural Steps

Tracheostomy Care I: Pre-procedural Steps

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:

Tracheostomy Care II: Procedure

Tracheostomy Care II: Procedure

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...

Tracheostomy Suctioning I: Pre-Procedural Steps

Tracheostomy Suctioning I: Pre-Procedural Steps

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...

Tracheostomy Suctioning II: Procedure

Tracheostomy Suctioning II: Procedure

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...

You might also read

Related Articles

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

Sort by

Same author

The Use of Electroconvulsive Therapy (ECT) in the New Onset Refractory Status Epilepticus (NORSE)-Case Report and Systematic Review.

The journal of ECT·2026

Same author

Acute care of spontaneous intracerebral hemorrhage.

Neurological research and practice·2025

Same author

Teleneurology expertise in intensive care units across Germany - a nationwide survey.

Neurological research and practice·2025

Same author

Ketogenic diet for status epilepticus in adult intensive care unit patients: a standard operating procedure.

Neurological research and practice·2025

Same author

Feasibility of non-invasive neuromonitoring using BIS and NIRS during endovascular treatment of acute ischemic stroke.

Neurological research and practice·2025

Same author

Bleeding Risk With Combining Antiplatelets and Anticoagulants for Secondary Stroke Prevention: A Propensity Score-Matched Analysis.

Journal of the American Heart Association·2025

Search research articles

Related Experiment Video

Updated: May 20, 2025

Image Acquisition using Portable Sonography for Emergency Airway Management

Image Acquisition using Portable Sonography for Emergency Airway Management

Published on: September 28, 2022

Visual-Guided Transillumination Method for Accurate Percutaneous Tracheal Tube Placement.

Diane C McLaughlin^1,2, Michael P Schaller³, Julian Bösel^4,5

¹Lyerly Neurosurgery, Baptist Medical Group, Jacksonville, FL.

Critical Care Explorations

|March 27, 2025

Summary

This summary is machine-generated.

The novel Illuminated Tracheal Alignment Guide (iTAG) device significantly reduces early complications during percutaneous tracheostomy (PT), improving patient safety and expanding procedural candidacy.

More Related Videos

The Rigid Tube as an Alternative in Controlling the Problematic Airway

The Rigid Tube as an Alternative in Controlling the Problematic Airway

Published on: June 6, 2020

Endotracheal Intubation of Rabbits Using a Polypropylene Guide Catheter

Endotracheal Intubation of Rabbits Using a Polypropylene Guide Catheter

Published on: November 13, 2017

Related Experiment Videos

Last Updated: May 20, 2025

Image Acquisition using Portable Sonography for Emergency Airway Management

Image Acquisition using Portable Sonography for Emergency Airway Management

Published on: September 28, 2022

The Rigid Tube as an Alternative in Controlling the Problematic Airway

The Rigid Tube as an Alternative in Controlling the Problematic Airway

Published on: June 6, 2020

Endotracheal Intubation of Rabbits Using a Polypropylene Guide Catheter

Endotracheal Intubation of Rabbits Using a Polypropylene Guide Catheter

Published on: November 13, 2017

Area of Science:

Medical Devices
Surgical Procedures
Critical Care Medicine

Background:

Percutaneous tracheostomy (PT) carries risks like malpositioning and bleeding.
A novel Illuminated Tracheal Alignment Guide (iTAG) device aims to improve PT safety.

Purpose of the Study:

To evaluate the feasibility, ease of use, and safety of the iTAG device for bedside percutaneous tracheostomy.

Main Methods:

An interventional pilot study involving 30 patients in a neurocritical care unit.
The iTAG device, featuring a laser light and needle guide, was used with standard PT equipment.
Data collected included demographics, procedure details, and early complications, compared to historical standard tracheostomy (ST) data.

Main Results:

The iTAG device was used safely in all 30 patients.
Significantly fewer early complications, including hemorrhage, were observed compared to the ST group.
No tracheal ring fractures, posterior wall injuries, or pneumothoraces occurred with iTAG.

Conclusions:

The iTAG device enhances PT safety and efficacy through precise visualization and controlled needle depth.
It reduces early complications and may expand patient eligibility for PT.
Further research, including RCTs, is recommended to establish iTAG as a standard of care.