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Related Concept Videos

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

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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:
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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Tracheostomy Decannulation01:21

Tracheostomy Decannulation

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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.
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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...
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Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

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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...
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Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

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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...
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Related Experiment Video

Updated: Jan 16, 2026

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
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Cricothyrotomy in the Emergency Department-A Video Review Study.

Florian Merkle1, Aaron E Robinson2, Robert F Reardon2

  • 1Department of Emergency Medicine, Boonshoft School of Medicine, Wright State University, Dayton, Ohio.

The Journal of Emergency Medicine
|September 26, 2025
PubMed
Summary

Emergency department cricothyrotomy is a rare but critical procedure. Video review revealed an 88% success rate but a high complication rate, emphasizing the need for proficient emergency airway management.

Keywords:
Airway emergenciesAirway managementAirway management complicationsCricothyrotomyCritical care in the emergency departmentDifficult airwayProcedures in emergency medicine

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Area of Science:

  • Emergency Medicine
  • Airway Management
  • Surgical Procedures

Background:

  • Cricothyrotomy is a vital emergency department (ED) airway procedure.
  • Infrequent performance limits real-world data on ED cricothyrotomy outcomes.

Purpose of the Study:

  • To describe ED cricothyrotomy procedures using video review.
  • To analyze approach, timing, success, and complications of these critical interventions.

Main Methods:

  • Retrospective observational study utilizing video review.
  • Analysis of 25 cricothyrotomy cases from a high-volume ED (2007-2020).
  • Detailed recording of procedural elements and patient outcomes.

Main Results:

  • Cricothyrotomy performed in 25/10,000 intubations, primarily for cardiac arrest or airway obstruction/trauma.
  • Median time to procedure: 24 minutes; most common technique: open surgical scalpel-hook-bougie.
  • Success rate: 88%; complications (death/disability): 12%.

Conclusions:

  • ED cricothyrotomy is associated with significant complications.
  • Timely and proficient execution is crucial for effective emergency airway management.