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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 Care II: Procedure01:25

Tracheostomy Care II: Procedure

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 and...
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 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...
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...

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Presence and detectability of the second victim phenomenon in German-speaking medical professionals involved in dysphagia and respiratory therapy: cross-sectional survey research (SeViD-V).

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Evidence and alternatives to the routine use of cuffed tracheostomy tubes in spontaneously breathing patients with neurological disorders.

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Related Experiment Video

Updated: Jun 30, 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

Rethinking tracheostomy care: cuffless tubes for patients with aspiration.

Bettina Arca-Tschudi1,2, Ludwig D Schelosky3, Paul Diesener1,4

  • 1VITREA Rehabilitation Clinic, Zihlschlacht, Switzerland.

Frontiers in Rehabilitation Sciences
|June 29, 2026
PubMed
Summary

Early conversion to cuffless tracheostomy tubes in neurological patients did not increase aspiration pneumonia. This approach improved secretion management and airway care, challenging the need for cuffed tubes in aspiration risk cases.

Keywords:
airway protectionaspiration pneumoniacuffless cannulasdysphagianeurological rehabilitationnon-ventilatedtracheostomizedtracheostomy tube management

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Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy

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The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation
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The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation

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Last Updated: Jun 30, 2026

The Rigid Tube as an Alternative in Controlling the Problematic Airway
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Area of Science:

  • Neurology
  • Pulmonology
  • Rehabilitation Medicine

Background:

  • Current guidelines often recommend cuffed tracheostomy tubes for patients at risk of aspiration, despite limited evidence of their protective effect against aspiration or pneumonia.
  • The Zihlschlacht Neurological Rehabilitation Clinic has adopted a protocol for early transition to cuffless tracheostomy tubes to enhance patient rehabilitation, communication, and quality of life.

Purpose of the Study:

  • To evaluate the impact of early conversion to cuffless tracheostomy tubes on tracheostomy management and pneumonia rates in neurological patients.
  • To assess whether cuffless tubes affect aspiration, secretion burden, and tolerance of airway adjuncts.

Main Methods:

  • A retrospective analysis of 124 non-ventilated, tracheostomized neurological patients admitted between January 2019 and December 2022.
  • Data collected included pneumonia, aspiration events, secretion management needs, and tolerance of speaking valves or decannulation caps.
  • All patients were converted to cuffless tubes within seven days of admission.

Main Results:

  • Pneumonia rates decreased significantly from 112 cases to 14 cases after conversion to cuffless tubes.
  • Suspected aspiration decreased from 29 to 13 cases, and confirmed aspiration decreased from 48 to 42 cases.
  • Patients experienced improved secretion management, reduced suctioning needs, and better tolerance of speaking valves and decannulation caps.

Conclusions:

  • Early conversion to cuffless tracheostomy tubes in neurological rehabilitation is feasible and safe, not increasing aspiration pneumonia.
  • This approach facilitates airway care, improves secretion management, and supports patient quality of life.
  • Aspiration risk should not be the sole contraindication for early cuffless tracheostomy tube use; further prospective studies are warranted.