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Related Concept Videos

Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

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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...
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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 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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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...
3.1K
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

2.2K
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:
2.2K
Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

3.4K
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: May 5, 2026

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
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Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing

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Monitoring Spontaneous Swallowing After Tracheostomy Using a Neck-Worn Electronic Stethoscope: A Pilot Study.

Shin Matsumoto1, Tetsuro Wada1, Yukiyo Shimizu2

  • 1Department of Otolaryngology, Head and Neck Surgery, Institute of Medicine, University of Tsukuba, Tsukuba 305-8576, Japan.

Journal of Clinical Medicine
|May 4, 2026
PubMed
Summary

Reduced spontaneous swallowing frequency (SSF) measured by a neck-worn electronic stethoscope (NWES) improved with cuff deflation and better oral intake in tracheotomy patients. This AI-supported method shows promise for clinical use.

Keywords:
artificial intelligencedysphagianeck-worn electronic stethoscopereflexive pharyngeal swallowspontaneous swallowing frequencytracheostomy

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Area of Science:

  • Medical Devices
  • Artificial Intelligence in Healthcare
  • Swallowing Disorders

Background:

  • Reduced spontaneous swallowing frequency (SSF) is a potential indicator of dysphagia.
  • Tracheostomy patients often experience swallowing difficulties.
  • Accurate assessment of SSF is crucial for managing dysphagia.

Purpose of the Study:

  • To evaluate SSF using an AI-supported neck-worn electronic stethoscope (NWES) in tracheotomy patients.
  • To determine the correlation between SSF and tracheostomy cuff status and dietary intake.
  • To investigate the relationship between SSF and pharyngeal saliva retention.

Main Methods:

  • Single-center observational study involving 18 tracheotomy patients.
  • SSF measured over 10 minutes using an NWES.
  • Assessment of tracheostomy cannula cuff status, Functional Oral Intake Scale (FOIS), and pharyngeal saliva retention (Hyodo score via FEES).

Main Results:

  • SSF significantly increased with tracheostomy cannula cuff deflation (p=0.049).
  • SSF improved with higher FOIS scores (≥3: p=0.032; ≥4: p=0.014).
  • A significant negative correlation was found between SSF and pharyngeal saliva retention (ρ=-0.68, p=0.0019).

Conclusions:

  • SSF measured by NWES tends to increase with improved swallowing function in tracheotomy patients.
  • NWES with AI shows potential as a clinical tool for assessing swallowing in this population.
  • Findings align with previous research on swallowing function indicators.