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Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

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

Tracheostomy Care I: Pre-procedural Steps

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:
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

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

Oxygen Delivering System III: Tracheostomy and T-piece

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...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

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

Tracheostomy Suctioning I: Pre-Procedural Steps

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 28, 2026

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

Early Versus Late Tracheostomy in Traumatic Spinal Injury: A Narrative Review.

Saeed Mahmood1, Mohammad Asim1, Ayman El-Menyar1,2

  • 1Department of Trauma Surgery, Hamad Medical Corporation, Doha 3050, Qatar.

Neurology International
|May 26, 2026
PubMed
Summary

Early tracheostomy in traumatic spinal cord injury (TSCI) reduces mechanical ventilation and ICU stay. While not impacting mortality, it improves short-term outcomes, especially for cervical injuries.

Keywords:
complicationsearly and late tracheostomyoutcomestraumatic spinal cord injury

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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

Related Experiment Videos

Last Updated: May 28, 2026

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

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

Area of Science:

  • Neurology
  • Pulmonology
  • Critical Care Medicine

Background:

  • Traumatic spinal cord injury (TSCI) often requires prolonged mechanical ventilation.
  • The optimal timing for tracheostomy in TSCI patients remains a clinical challenge.
  • Existing evidence is primarily observational, lacking dedicated randomized controlled trials (RCTs).

Purpose of the Study:

  • To review and synthesize current evidence on tracheostomy timing in acute TSCI.
  • To evaluate the impact of early versus late tracheostomy on patient outcomes.
  • To identify benefits and limitations of current evidence regarding tracheostomy in TSCI.

Main Methods:

  • Systematic review and meta-analysis of cohort studies.
  • Synthesis of contemporary observational data on tracheostomy timing in TSCI.
  • Analysis of outcomes including ventilation duration, ICU stay, complications, and mortality.

Main Results:

  • Early tracheostomy (≤7 days) is linked to shorter mechanical ventilation and ICU stays.
  • Reduced sedation and fewer immobility-related complications are associated with early tracheostomy.
  • A potential decrease in ventilator-associated pneumonia was observed, but mortality rates were unchanged.

Conclusions:

  • Current observational data suggest early tracheostomy improves short-term outcomes in TSCI, particularly for cervical injuries.
  • Benefits may stem from improved airway management, reduced dead space, and earlier mobilization.
  • Individualized decisions are crucial due to lack of RCTs and long-term data.