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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...
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 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...
Endotracheal Intubation I: Procedure01:15

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Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
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
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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:

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RETRACTED: Zito Marino et al. AXL and MET Tyrosine Kinase Receptors Co-Expression as a Potential Therapeutic Target in Malignant Pleural Mesothelioma. <i>J. Pers. Med.</i> 2022, <i>12</i>, 1993.

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Related Experiment Video

Updated: Jun 23, 2026

The Rigid Tube as an Alternative in Controlling the Problematic Airway
08:26

The Rigid Tube as an Alternative in Controlling the Problematic Airway

Published on: June 6, 2020

Percutaneous dilation tracheostomy guided by rigid bronchoscopy.

Alfonso Fiorelli1, Massimo Ciaravola2, Francesco Coppolino2

  • 1Thoracic Surgery Unit, University of Campania Luigi Vanvitelli, Naples, Italy

Multimedia Manual of Cardiothoracic Surgery : MMCTS
|June 22, 2026
PubMed
Summary
This summary is machine-generated.

This study details a redo tracheostomy using rigid bronchoscopy in a patient with a large mediastinal goitre. This technique safely secured the airway and facilitated cannula insertion, proving useful for difficult airways.

Keywords:
Airway compressionRigid bronchoscopyTrachea

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Area of Science:

  • Otorhinolaryngology
  • Thoracic Surgery
  • Anesthesiology

Background:

  • Redo tracheostomy presents unique challenges, particularly in patients with significant neck masses.
  • Mediastinal goiters can complicate airway management and tracheostomy procedures.
  • Percutaneous dilation tracheostomy (PDT) is a common technique, but its efficacy can be limited in complex cases.

Purpose of the Study:

  • To describe a novel approach for redo tracheostomy in a patient with a large mediastinal goiter.
  • To evaluate the utility of rigid bronchoscopy during percutaneous dilation tracheostomy in a challenging airway scenario.
  • To highlight the safety and feasibility of this technique for difficult airway management.

Main Methods:

  • A percutaneous dilation tracheostomy was performed under the guidance of rigid bronchoscopy.
  • The rigid bronchoscope was utilized for airway visualization, suctioning of secretions and blood, and maintaining ventilation.
  • The rigid barrel of the bronchoscope aided in anterior tracheal displacement, facilitating dilator and cannula insertion.

Main Results:

  • Rigid bronchoscopy provided superior suctioning of blood and secretions compared to flexible bronchoscopy.
  • The procedure successfully secured the airway and ensured adequate ventilation throughout.
  • Tracheal displacement by the rigid barrel reduced the risk of airway injury during cannula insertion.
  • The overall strategy was demonstrated to be safe and feasible.

Conclusions:

  • Rigid bronchoscopy-assisted percutaneous dilation tracheostomy is a safe and effective technique for redo tracheostomy in patients with large mediastinal goiters.
  • This method offers significant advantages in managing difficult airways where standard PDT may be challenging.
  • The technique facilitates airway control and reduces procedural risks, making it a valuable option for complex cases.