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Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

126
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...
126
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

473
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....
473
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

452
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...
452
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

604
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...
604
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

144
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:
144
Trachea01:22

Trachea

1.7K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
1.7K

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Related Experiment Video

Updated: Jun 14, 2025

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

552

Developmental outcomes after tracheostomy in extremely preterm neonates.

Stephen R Chorney1, Amor Niksic2, Kristine Tolentino-Plata3

  • 1Department of Otolaryngology - Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA; Department of Pediatric Otolaryngology, Children's Medical Center Dallas, Dallas, TX, USA.

International Journal of Pediatric Otorhinolaryngology
|June 12, 2025
PubMed
Summary

Children born extremely preterm needing a tracheostomy show delayed two-year developmental outcomes. These infants require ongoing monitoring for developmental milestones.

Keywords:
Bayley scoresDevelopmental delayExtreme prematurityPediatric tracheostomy

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Area of Science:

  • Neonatal Development
  • Pediatric Pulmonology
  • Developmental Pediatrics

Background:

  • Extremely preterm infants (<28 weeks gestation) face significant developmental challenges.
  • Tracheostomy placement in this population is associated with increased medical complexity.

Purpose of the Study:

  • To compare two-year developmental outcomes in extremely preterm infants with and without tracheostomy.
  • To identify factors influencing developmental trajectories in this cohort.

Main Methods:

  • A case series design involving chart review of extremely preterm infants.
  • Infants were grouped based on tracheostomy status (yes/no) before 12 months of age.
  • Two-year developmental assessments using the Bayley Scales of Infant and Toddler Development, 3rd Edition.

Main Results:

  • Infants with tracheostomies had lower gestational age, birth weight, and higher rates of hearing loss.
  • Tracheostomy-dependent infants demonstrated significantly lower cognitive, motor, and language scores at two years.
  • Regression analysis indicated tracheostomy was a significant predictor of lower cognitive and motor scores.

Conclusions:

  • Tracheostomy dependency is linked to delayed two-year developmental outcomes in extremely preterm infants.
  • These children require vigilant monitoring for developmental milestones and potential interventions.
  • Early identification and support are crucial for optimizing outcomes in this vulnerable population.