Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Mechanical Ventilation II: Invasive Ventilation01:23

Mechanical Ventilation II: Invasive Ventilation

Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
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,...
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 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...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Survival in congenital central hypoventilation syndrome (CCHS): data from the European CCHS Consortium.

Thorax·2026
Same author

Management and Long-Term Outcomes of Persistent Tachypnea of Infancy/Neuroendocrine Cell Hyperplasia of Infancy: A European Multicenter Retrospective Study.

Chest·2026
Same author

Recommendations for Performing Spirometry.

Archivos de bronconeumologia·2026
Same author

Clinical and Immunological Impact of JAK Inhibition in Concurrent Down Syndrome and STAT1 Gain of Function.

Journal of clinical immunology·2025
Same author

Serum phosphate abnormalities in critically ill children.

Medicina intensiva·2025
Same author

Diagnostic Evaluation and Clinical Findings in Children With Persistent Tachypnea of Infancy/Neuroendocrine Cell Hyperplasia of Infancy: A European Multicenter Retrospective Study.

Chest·2025
Same journal

Beyond authority: ICU leadership, accountability, and the responsibility to step down.

Medicina intensiva·2026
Same journal

Bleeding during VV-ECMO: clinicopathological correlation.

Medicina intensiva·2026
Same journal

Corticosteroid practices in the acute care of brain tumors: a Latin-American survey.

Medicina intensiva·2026
Same journal

3D transoesophageal echocardiography in thoracic endovascular aneurysm repair.

Medicina intensiva·2026
Same journal

Prevalence and risk factors associated with professional burnout in Spanish Intensive Care Units.

Medicina intensiva·2026
Same journal

Temporal changes in parasternal intercostal muscle thickening in predicting weaning outcomes: A prospective observational study.

Medicina intensiva·2026
See all related articles
  1. Home
  3. Prolonged Mechanical Ventilation And Tracheostomised Paediatric.
  1. Home
  3. Prolonged Mechanical Ventilation And Tracheostomised Paediatric.

Related Experiment Video

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

Prolonged mechanical ventilation and tracheostomised Paediatric.

Rafael González Cortés1, Martí Pons Òdena2, Mirella Gaboli3

  • 1Servicio de Cuidados Intensivos Pediátricos, Hospital General Universitario Gregorio Marañón, Departamento de Salud Pública y Materno Infantil. Facultad de Medicina, Universidad Complutense de Madrid, Instituto de Investigación Sanitaria Gregorio Marañón, Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Development Origin Network (RICORS) RD21/0012/0025, Instituto de Salud Carlos III, Madrid, Spain.

Medicina Intensiva
|June 22, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

Prolonged mechanical ventilation (PMV) in paediatric intensive care (PICU) is rising. Tracheostomy (TC) and non-invasive ventilation (NIV) aid weaning, with home ventilation improving quality of life.

Keywords:
Chronic respiratory failureCuidados intensivos pediátricosInsuficiencia respiratoria crónicaPaediatric intensive careProlonged mechanical ventilationTracheostomy in childrenTraqueostomía en niñosVentilación mecánica prolongada

More Related Videos

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

Related Experiment Videos

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

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:

  • Pediatric Critical Care Medicine
  • Respiratory Medicine
  • Medical Technology

Background:

  • Prolonged mechanical ventilation (PMV) in paediatric intensive care units (PICU) is increasing due to advances in care for chronically ill children.
  • Common causes include chronic respiratory and neuromuscular diseases, prematurity, bronchopulmonary dysplasia, heart disease, and increasingly, oncological conditions.
  • PMV in PICU primarily involves invasive mechanical ventilation (MV) via endotracheal tube or tracheostomy (TC), with non-invasive ventilation (NIV) being less common.

Purpose of the Study:

  • To review strategies for successful weaning from mechanical ventilation in children.
  • To discuss the role of tracheostomy (TC) and non-invasive ventilation (NIV) in facilitating ventilatory weaning and long-term support.
  • To highlight considerations for tracheostomy timing, cannula selection, and the transition to home ventilation.

Main Methods:

  • Review of current practices and literature regarding prolonged mechanical ventilation in pediatric intensive care.
  • Analysis of factors influencing successful weaning from mechanical ventilation.
  • Discussion of tracheostomy (TC) and non-invasive ventilation (NIV) as management strategies.

Main Results:

  • Successful weaning requires addressing imbalances between respiratory system load and work capacity.
  • Tracheostomy (TC) and NIV can aid in weaning or serve as long-term ventilation solutions.
  • Tracheostomy timing in children is individualized and often delayed compared to adults; uncuffed cannulae are preferred when clinically stable for home use.

Conclusions:

  • Home ventilation can improve quality of life and neurodevelopment but places significant burdens on families.
  • Institutional support is crucial for families managing children on home ventilation.
  • Individualized risk-benefit assessment is essential for tracheostomy decisions in pediatric patients.