Tracheotomy Procedure

The tracheotomy procedure is a surgical technique that creates an opening through the neck into the trachea to establish a direct airway when normal breathing is impaired. After an incision exposes the trachea, clinicians open its wall and may insert a tracheostomy tube, allowing air to bypass an obstructed upper airway and supporting mechanical ventilation or secretion management. In biology and clinical research, understanding this procedure clarifies airway anatomy, respiratory physiology, and tissue healing. It is used in emergencies, prolonged ventilatory support, and selected conditions requiring long-term airway access, while careful technique helps limit bleeding, infection, and injury to nearby structures.

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JoVE Core - Medical-Surgical Nursing

Tracheostomy Care II: Procedure

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2025

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: Procedure and Tubes

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2025

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 II: Procedure

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2025

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...

Tracheostomy Care I: Pre-procedural Steps

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2025

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: Disposable and sterile gloves Goggles and mask or face shield Additional PPE, as indicated Sterile normal...

Tracheostomy Suctioning I: Pre-Procedural Steps

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2025

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...

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