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Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

612
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...
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Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

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In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
402
Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

1.1K
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...
1.1K
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

484
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...
484
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

407
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:
407

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Updated: Sep 20, 2025

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Pediatric Otolaryngology Procedure Duration by Training Level: 12,704 Case Analysis.

Christopher Jabbour1, Nicole L Aaronson1,2, Ran Zhang3

  • 1Division of Pediatric Otolaryngology, Nemours Children's Health, Wilmington, DE, USA.

The Annals of Otology, Rhinology, and Laryngology
|May 23, 2025
PubMed
Summary

Resident involvement in pediatric otolaryngology procedures increases surgical time, particularly for younger patients and those with specific health factors. This training incurs a significant financial cost to healthcare institutions.

Keywords:
costdelivery of health careinternship and residencyoperative timepediatric otolaryngologyrevenue

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Area of Science:

  • Pediatric Otolaryngology
  • Healthcare Economics
  • Surgical Education

Background:

  • Resident training is integral to surgical education.
  • Understanding the impact of resident involvement on procedure efficiency and cost is crucial for healthcare systems.

Purpose of the Study:

  • To evaluate how resident participation affects the duration of pediatric otolaryngology procedures.
  • To analyze the financial implications of resident involvement in surgical care.

Main Methods:

  • Retrospective chart review of pediatric otolaryngology procedures (tonsillectomy, adenoidectomy, etc.) from April 2016 to October 2023.
  • Data collected included procedure duration, patient demographics, American Society of Anesthesiology (ASA) class, body mass index (BMI) percentile, scheduling time, and surgeon type.
  • Financial impact calculated by comparing procedure times between attending physicians and trainees, using institutional revenue values.

Main Results:

  • Trainee involvement generally prolonged surgical times compared to attending physicians, except for closed nasal reduction.
  • Factors like patient age, ASA class, BMI percentile, and afternoon scheduling were associated with longer procedures for certain operations.
  • The financial cost attributed to resident training was estimated at $616,988 over the study period, with the highest investment in second-year residents.

Conclusions:

  • Surgical duration in pediatric otolaryngology is influenced by surgeon experience and patient-specific factors.
  • Resident training represents a substantial, long-term financial investment for healthcare institutions, essential for developing surgical expertise.