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Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

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

Oxygen Delivering System III: Tracheostomy and T-piece

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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...
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Trachea01:22

Trachea

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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...
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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:
951
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

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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...
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Related Experiment Video

Updated: Jan 11, 2026

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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Tracheostomy in Children: A Call for Deeper Reflection.

Dilip Kumar Venkatesan1, Pratyusha Kambagiri2

  • 1Department of Pediatrics, Aster CMI Hospital, Bengaluru, Karnataka, India.

Indian Journal of Critical Care Medicine : Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine
|November 10, 2025
PubMed
Summary
This summary is machine-generated.

This study highlights the critical need for careful consideration of tracheostomy in pediatric patients. It emphasizes a deeper reflection on the procedure

Keywords:
Mechanical ventilationQuality of lifeTracheostomyTracheostomy complication

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Area of Science:

  • Pediatric Critical Care Medicine
  • Otolaryngology
  • Pediatric Surgery

Background:

  • Tracheostomy is a common procedure in pediatric intensive care.
  • Indications and long-term outcomes require ongoing evaluation.
  • Evidence-based guidelines are essential for optimal patient management.

Purpose of the Study:

  • To review current practices and outcomes of tracheostomy in children.
  • To identify areas for improvement in pediatric tracheostomy care.
  • To advocate for a more reflective approach to the procedure.

Main Methods:

  • Retrospective analysis of pediatric tracheostomy cases.
  • Review of relevant literature and clinical guidelines.
  • Discussion of potential complications and long-term sequelae.

Main Results:

  • Variability in indications and techniques observed.
  • Significant short-term and long-term complications reported.
  • Need for standardized protocols and multidisciplinary care.

Conclusions:

  • Pediatric tracheostomy necessitates a thorough, individualized assessment.
  • Further research is needed to optimize patient selection and care pathways.
  • A call for deeper reflection on the benefits and risks in pediatric airway management.