CHEST Select - Critical Care Self-Study Resources-PERC TRACHE

Video Transcription

Video Summary

The video demonstrates the step-by-step procedure for placing a percutaneous tracheostomy tube using bronchoscopy guidance. It includes a review of relevant head and neck anatomy and the necessary equipment for the procedure. The video also discusses potential complications and how to handle accidental decannulation. Prior to the procedure, the patient's ventilator settings and hemodynamic stability should be assessed. The patient should be positioned with neck extension and shoulder blade retraction to expose the neck anatomy needed for tube placement. The incision should be made between the second and third tracheal rings, and dilation is performed using dilators of appropriate size. The tracheostomy tube is then inserted and secured with stitches. In case of accidental decannulation, the patient's airway can be secured using a direct laryngoscopy or fiber optic intubation. A wet gauze can be used to cover the stoma and ensure appropriate ventilation.

Meta Tag

Asset Type Video

Curriculum Category Pulmonary Disease in Critical Care

Keywords

percutaneous tracheostomy tube

bronchoscopy guidance

head and neck anatomy

complications

accidental decannulation

ventilator settings