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Related Concept Videos

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 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: 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 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...
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...
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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Related Experiment Videos

Risk Stratification Using the Tracheostomy Early Prediction Score and the Association Between Early Tracheostomy and

Kazuya Kikutani1, Mitsuaki Nishikimi1,2, Michihito Kyo1,3

  • 1Drs. Kikutani, Nishikimi, Kyo, Yamaga, Shimatani, Ota, Ohshimo, and Prof. Shime are affiliated with Department of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Respiratory Care
|July 7, 2026
PubMed
Summary

Early tracheostomy reduces mortality in high-risk sepsis patients identified by the Sepsis Tracheostomy Early Prediction (STeP) score. This timing strategy did not impact survival for low- or moderate-risk patients.

Keywords:
airway managementmechanical ventilationrisk stratificationsepsistimingtracheostomy

Related Experiment Videos

Area of Science:

  • Critical Care Medicine
  • Sepsis Management
  • Mechanical Ventilation

Background:

  • Tracheostomy timing's effect on mortality in mechanically ventilated patients remains unclear.
  • Identifying appropriate candidates for tracheostomy is difficult.
  • The Sepsis Tracheostomy Early Prediction (STeP) score may aid risk stratification.

Purpose of the Study:

  • To evaluate the association between tracheostomy timing and mortality in sepsis patients.
  • To utilize the STeP score for risk stratification in this patient population.

Main Methods:

  • Retrospective cohort study using Japanese Intensive Care Patient Database.
  • Sepsis patients requiring mechanical ventilation and tracheostomy were stratified by STeP score (low, moderate, high).
  • 1:1 propensity score matching compared early (≤7 days) vs. late (>7 days) tracheostomy within risk groups; sensitivity analyses used generalized linear mixed-effects models.

Main Results:

  • In high-risk patients, early tracheostomy was linked to significantly lower in-hospital mortality (28.0% vs. 36.1%).
  • No significant mortality difference was found between early and late tracheostomy in low- or moderate-risk groups.
  • Findings were consistent across sensitivity analyses.

Conclusions:

  • Early tracheostomy is associated with reduced mortality in high-risk sepsis patients identified by the STeP score.
  • Tracheostomy timing did not significantly affect mortality in low- and moderate-risk patients.