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Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

2.4K
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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Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

1.8K
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:
1.8K
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

2.4K
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...
2.4K
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

4.8K
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...
4.8K
Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

3.1K
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...
3.1K
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

2.9K
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...
2.9K

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Related Experiment Video

Updated: Mar 24, 2026

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
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Tracheostomy decannulation process model: an interprofessional, Latin-American Delphi consensus.

Roque Basoalto1, Yorschua Jalil2, Javiera Guzman3

  • 1Departamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; CardioREspirAtory Research Laboratory, Departamento Ciencias de la Salud, Pontificia Universidad Católica de Chile, Santiago, Chile; Programa de Medicina Física y Rehabilitación, Red Salud UC CHRISTUS, Santiago, Chile.

Medicina Intensiva
|March 3, 2026
PubMed
Summary
This summary is machine-generated.

A consensus model for tracheostomy decannulation was developed for Latin America. This standardized process clarifies roles and guides clinical practice for better patient recovery.

Keywords:
BPMNCuidado interprofesionalDecanulaciónDelphi methodInterprofessional careLatin AmericaLatinoaméricaMetodología DelphiModelamiento de procesosProcess modelingTracheostomy decannulationTraqueostomía

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Area of Science:

  • Critical Care Medicine
  • Health Systems Research
  • Interprofessional Healthcare

Background:

  • Tracheostomy decannulation practices vary globally, impacting patient recovery.
  • A standardized approach is needed, especially within diverse Latin American healthcare systems.

Purpose of the Study:

  • To develop a consensus-based model for tracheostomy decannulation tailored to Latin American healthcare systems.
  • To standardize the decannulation process, improve role clarity, and guide clinical practice.

Main Methods:

  • A three-round Delphi consensus method was employed.
  • Seventy-five healthcare professionals from Chile, Argentina, Mexico, and Ecuador participated.
  • Business Process Model and Notation was used to model the decannulation pathway.

Main Results:

  • A consensus model with 15 activities in seven subprocesses was established.
  • Specific professional roles and conditional decision nodes were defined for the decannulation pathway.
  • Consensus was not reached on specific physiological thresholds; procedures like bronchoscopy were context-dependent.

Conclusions:

  • An interprofessional panel successfully created a standardized tracheostomy decannulation process for Latin America.
  • The model offers a clear, adaptable framework to guide clinical practice and enhance role definition.
  • This framework can inform future research and improve patient outcomes.