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Related Concept Videos

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

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

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

Oxygen Delivering System III: Tracheostomy and T-piece

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...
Tracheostomy: Procedure and Tubes01:28

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 Steps01:16

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 Decannulation01:21

Tracheostomy Decannulation

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...
Tracheostomy Care II: Procedure01:25

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 and...

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Related Experiment Video

Updated: Jun 24, 2026

Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease
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Disparities in Posthospitalization Disposition Following Tracheotomy: A National Analysis.

Radhika Duggal1, Sarah Benyo2, Elizabeth N Dewey3

  • 1Cleveland Clinic Lerner College of Medicine Case Western Reserve University Cleveland Ohio USA.

OTO Open
|May 19, 2025
PubMed
Summary

Sociodemographic factors significantly impact tracheotomy patient discharge, with age, race, sex, insurance, region, and hospital size influencing outcomes. Addressing these disparities is crucial for improving patient care and resource allocation.

Keywords:
discharge dispositiondisparitiessocial determinants of healthtracheostomytracheotomy

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Area of Science:

  • Health Services Research
  • Patient Outcomes
  • Healthcare Disparities

Background:

  • Sociodemographic factors influence disease management and outcomes.
  • Effective postoperative management is critical after tracheotomy to reduce complications.

Purpose of the Study:

  • To assess the impact of sociodemographic factors on patient discharge disposition following tracheotomy.
  • To identify disparities in care related to patient characteristics and healthcare access.

Main Methods:

  • Cross-sectional study utilizing the Health Care Utilization Project's National Inpatient Survey (HCUP NIS) data from 2017-2021.
  • Analysis of 81,069 tracheotomy admissions using R survey procedures to account for complex survey design.
  • Univariable and multivariable analyses to determine associations between sociodemographic variables and discharge disposition.

Main Results:

  • 15.1% routine discharge, 4.5% to short-term hospital, 52.3% to skilled nursing/intermediate care facilities, 16.9% home health care.
  • Younger patients had higher rates of routine discharge; older patients were more likely to be transferred to SNF/ICF or experience death.
  • Age, race, sex, insurance type, geographic region, and hospital size were significantly associated with discharge disposition.

Conclusions:

  • Significant disparities in discharge disposition exist among tracheotomy patients based on sociodemographic factors.
  • These disparities are evident in both unadjusted and adjusted analyses, underscoring systemic issues.
  • Further research and resource allocation are needed to identify and modify sources of disparity to improve patient care.