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Related Concept Videos

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
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...
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 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...
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

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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Related Experiment Video

Updated: Jun 17, 2026

Preoxygenation Techniques for Tracheal Intubation in Critically Ill Adults Utilizing Oxygen Mask and Noninvasive Ventilation
07:15

Preoxygenation Techniques for Tracheal Intubation in Critically Ill Adults Utilizing Oxygen Mask and Noninvasive Ventilation

Published on: December 5, 2025

Ventilator Liberation for Hospitalized Patients With Tracheostomy.

Scott Neuhofs1, Samin Mujanovic1, Michael Fischer1

  • 1Mr. Neuhofs, Mujanovic, Fischer, Ference, and Roberts are affiliated with Enterprise Respiratory Therapy, Critical Care Center, Integrated Hospital Care Institute, Cleveland Clinic, Cleveland, Ohio, USA.

Respiratory Care
|June 16, 2026
PubMed
Summary

Daily tracheostomy collar trials may improve ventilator liberation for patients with tracheostomy, but increase hospital readmissions. Benefits were more pronounced for those with tracheostomy during ICU admission.

Keywords:
Tracheostomy Collar TrialsTracheostomy WeaningVentilator LiberationVentilator Weaning

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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

Published on: March 15, 2024

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Last Updated: Jun 17, 2026

Preoxygenation Techniques for Tracheal Intubation in Critically Ill Adults Utilizing Oxygen Mask and Noninvasive Ventilation
07:15

Preoxygenation Techniques for Tracheal Intubation in Critically Ill Adults Utilizing Oxygen Mask and Noninvasive Ventilation

Published on: December 5, 2025

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

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

Area of Science:

  • Critical Care Medicine
  • Pulmonology
  • Respiratory Therapy

Background:

  • 5-9% of invasively ventilated patients require tracheostomy for prolonged support.
  • Optimal strategies for mechanical ventilation weaning in tracheostomized patients are not well-defined.

Purpose of the Study:

  • To evaluate the impact of a ventilator liberation protocol incorporating daily tracheostomy collar trials on patient outcomes.
  • To compare clinical outcomes between a protocol group and a historical control group.

Main Methods:

  • Implementation of a ventilator liberation protocol with daily tracheostomy collar trials for tracheostomized patients.
  • Comparison of clinical outcomes (weaning duration, hospital stay, mortality, readmissions) between the intervention and control groups.
  • Inclusion of all patients with tracheostomy, regardless of admission status or timing of tracheostomy.

Main Results:

  • No significant difference in weaning duration, hospital stay, or mortality between groups.
  • Increased hospital readmissions observed in the intervention group (30.3%) compared to the control group (20%).
  • Tracheostomy collar trials were associated with a 43% higher likelihood of successful liberation for recurrent events and a trend towards higher liberation on discharge for the primary analysis.

Conclusions:

  • Daily tracheostomy collar trials increase in-hospital ventilator liberation for tracheostomized patients.
  • Increased hospital readmissions are a significant balancing measure associated with this protocol.
  • The benefits of daily trials were more pronounced in patients who underwent tracheostomy during their ICU admission.