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

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: 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 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 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 Decannulation

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...

Oxygen Delivering System III: Tracheostomy and T-piece

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...

You might also read

Related Articles

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

Sort by

Same author

Technical review by the Brazilian Society of Surgical Oncology and the Brazilian Society of Head and Neck Surgery on hierarchical coding in thyroid surgery.

Revista do Colegio Brasileiro de Cirurgioes·2026

Same author

Competencies in head and neck surgery teaching for specialty residents. Position statement of Brazilian Head and Neck Surgery Society.

Brazilian journal of otorhinolaryngology·2025

Same author

Competencies in Head and Neck Surgery teaching for medical internship. Position statement of Brazilian Head and Neck Surgery Society.

Brazilian journal of otorhinolaryngology·2025

Same author

Serum microRNA analysis facilitates decision-making between active surveillance and immediate surgery for low-risk thyroid tumors.

Archives of endocrinology and metabolism·2025

Same author

Experimental model for percutaneous tracheostomy training.

Brazilian journal of otorhinolaryngology·2025

Same author

Rehabilitation after supracricoid partial laryngectomy: cohort study.

Brazilian journal of otorhinolaryngology·2024

Search research articles

Related Experiment Video

Updated: Jun 16, 2025

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

Published on: March 15, 2024

Bedside conventional tracheostomy.

Giancarlo Artese Araujo¹, Antonio Augusto Tupinambá Bertelli¹, Helvécio de Resende Urbano Neto¹

¹Santa Casa de São Paulo, Faculdade de Ciências Médicas, São Paulo, SP, Brazil.

Brazilian Journal of Otorhinolaryngology

|May 30, 2025

Summary

Bedside open tracheostomy is a safe procedure in head and neck surgery. A review of 598 patients found a low complication rate of 1.50%, demonstrating its feasibility.

Keywords:

Elective Intensive care Intraoperative complications Surgical procedures Surgicenters Tracheostomy

More Related Videos

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

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

Published on: August 2, 2024

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

Related Experiment Videos

Last Updated: Jun 16, 2025

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

Published on: March 15, 2024

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

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

Published on: August 2, 2024

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

Area of Science:

Otolaryngology
Head and Neck Surgery
Surgical Procedures

Background:

Bedside tracheostomy is an alternative to traditional operating room procedures.
Evaluating the safety and efficacy of open tracheostomy performed at the patient's bedside is crucial.

Purpose of the Study:

To document the experience of the Head and Neck Surgery division at Santa Casa in São Paulo with bedside open tracheostomy.
To assess the complication rates and outcomes of this surgical approach.

Main Methods:

Retrospective analysis of a tracheostomy database from 2013 to 2016.
Inclusion of 598 patients undergoing open tracheostomy.
Analysis of patient demographics and primary complications.

Main Results:

A total of 598 patients were analyzed, with 9 complications (1.50%).
Hemorrhage occurred in 6 cases (1.0%).
Other complications included 1 postoperative death (0.16%), 1 accidental decannulation (0.16%), and 1 tracheal wall lesion (0.16%).

Conclusions:

Open tracheostomy can be safely performed at the bedside.
The procedure demonstrates a low complication rate, supporting its clinical utility.
Bedside open tracheostomy is a viable option for selected patients.