RT Clinic: Tracheostomy devices

Discussion of two common tracheostomy devices. Cuffed vs. uncuffed. Identify devices that can be used for ventilation in an emergency.
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[@MR-zq5gt]

Thank you so much!!! I am a new nurse in neurosurgery and we get a lot of trachs .. needless to say, I hadn’t done trach care since my junior year of nursing school and so my first time suctioning was nerve wracking ...I am much more comfortable now with my trach patients ( was even able to take care of my patient who suddenly developed a mucus plug while being capped and desaturated -yikes! Got her stabilized and all by cleaning and suctioning etc ) but it’s still nice to have everything explained bc we don’t get these nice in depth discussions in nursing school 😭... anyway, RTs are amazing - thank you for all you do
1 second ago

[@rtclinic]

Thank you! I bet you are a pro now since it took me a year to respond 🤣😅

[@aliciabias4126]

Thanks for making this video you explained it better than any book

[@katelynantrim5633]

I can't tell you how much more comfortable this makes me feel in my knowledge to care for patients with trachs. THANK YOU THANK YOU THANK YOU for making this and making it easy to understand!

[@gregorydesir7540]

This is extremely helpful! It has all the answers I had in one... I'll subscribe, so please keep the great videos coming! Thank you.

[@almabashaw9668]

Fantastic thorough illustration. I will rewatch. Thank you.

[@nerdymadchen2]

Great video! Really appreciate you taking the time to explain the various types, features, and safety precautions.

[@gaylegonzalez71]

You are awesome! thank you so much! I'm in nursing school, and reading things just isn't the same until you see an actual demonstration, I appreciate you!

[@sublimesamoyed]

Wildly helpful. I did my final preceptorship before graduation on an ICU step-down that was known for trachs and respiratory issues. I wish I had known all of this back then. RTs are the bomb!

[@BencusAnda1]

Nagyon szuper a video! Remek tanulási lehetőség! Köszönöm!

[@Shellz194]

Thank you for this. Thee best explanation I’ve ever come across.

[@claudiatenore8236]

Thank you for this video. I am an RN with VERY little experience with trach care. This helps a lot!

[@greatestprodigy5042]

as a new RT grad this stuff is gold. Real informative. I feel much better handling trach's now.

[@francishubertovasquez2139]

Thanks. You have a real mastery of your craft sir RT.

[@WhoGamerSB]

Superb video! Please keep posting these video. Thanks Jimmy!

[@anndietrich4875]

You are an amazing teacher. I am a nursing instructor and will be using this and your other respiratory videos. Thank you so much for sharing your expertise!

[@rtclinic]

Thank you! Let me know if there are other topics you would like me to cover.

[@theHouseOfLofi]

Thank you Jimmy for this information , it's just what I was looking for

[@chrisblack5795]

Super fantastic video! The information is excellent!!! Thanks for sharing...

[@cherylross3956]

Excellent demo and clarify, thank you!

[@perkits1]

You rock! Thank you so much for this!! You made trach equipment so easy to understand :)

[@sinclair657]

Thank you especially identifying the multiple types of tubes and when to use and how trouble shoot / avoid problems.

[@TheCJFrench]

Thank you so much! Your video was incredibly helpful!

[@aliciaspidell669]

Thank you for this video it kept me informed I just received a trach so this info was super important

[@williamsmarcia16]

Awesome video. I was able to easily understand and learn about different trachs.

[@leighannallen4699]

I am in RT school now. I am totally unfamiliar with trachs, so your video is very informative. Thank you!

[@eN727Ve]

This is really great information for a nursing student like me!! Thank you so much!

[@sirinarttasanalee6522]

Love your video! It explained thoroughly.

[@maryptl3]

Thank you for this very informational video.

[@allthingsluxury3400]

Great video I will show to my nursing students this today

[@benn6239]

Thank you, thank you and thank you !

[@maryuritrujillo6431]

Very clear explanation. Thank you!

[@kennethweiss9068]

Excellent presentation. Thank you!

[@clowie299]

I watch the entire thing, good video

[@larissahubbard7077]

Great video! Thank you!

[@sarahmar9962]

This video is so good! thank you for explaining everything so well!

[@muhammedozcan2345]

Çok tatlısın Sarah ❤😘

[@zhanetta879]

Thank you for brilliant explanation!!!

[@xy2565]

this was fantastic! thank you!

[@97bull]

Please continue to make content dude you are awesome !!

[@wasnatehere]

This is amazing, thank you!

[@LaddipuRple22]

Thank you for this video!!!

[@maxilenefils-aime2636]

Very very good videos on Trach care easy to understand

[@wisdomtruth4213]

detailed visual video. thank you.

[@preethivijayan9220]

Beautifully explained!!

[@lisamacdonald7954]

What an excellent tutorial!

[@Marrryjizle]

GREAT VIDEO!!! THANK YOU SO MUCH!

[@BreatheEasyRRT]

Great video!! Super informative!

[@triciaapplewhite4939]

Excellent video. Thank you

[@bgtsy]

Awesome, i learned so much!

[@connieng9072]

wow amazing love how you explain it. the best

[@Sundus999]

This is excellent. Thank you

[@fellameow123]

Super helpful! Thank you.

[@chanaduncan2046]

Fantastic info.

[@poojasreeram3394]

SLP/SALT here, amateur in an acute care setup.. This video has been immensely helpful and insightful ( and entertaining :P) I have recommended it to a couple of like-minded colleagues.. So so good! Such a detailed video with practical demonstration really helps understand the subject better and retain information for future use.. Thank you!!

[@rtclinic]

Thank you!

[@jjjohnson5771]

Great video, very informative.

[@sandrataylor2323]

You have taught me more than anyone else. Thanks.

[@rtclinic]

Thanks for watching Sandra!

[@sandrataylor2323]

@@rtclinic You are most welcome.

[@screenprotector5377]

Thanks. This is very helpful.

[@susancharlton9368]

excellent video very helpful!!!

[@ritzcestona6365]

thanks soooo much. excellent presentation

[@lincoswrld5461]

Thank you. Very clear.

[@dioradri]

Thank you!

[@katejoyce8561]

Great video Thank you! You are a BIG HELP!

[@rtclinic]

Thank you for watching!

[@coyecarrie]

Thanks for sharing!

[@donnajacinto354]

Thank you sooooo much..You’re a great teacher..:)

[@Champions8055]

Thank you sir detailed information I am lucky to find your channel sir clearly explained

[@fareenarahman3622]

Great video

[@shine2596]

Great info, thanks..

[@christyf8936]

I am having to learn all about trachs .my husband had an emergency trach will be part of our new normal. Ty

[@phillyb4588]

SUPER GREAT INFO

[@shannoncoleman4095]

Thanks for sharing

[@shaydelre1898]

i know i'm late but this is AMAZING thank you !

[@Buntyscakebox]

Efficient demonstration.. very helpful

[@FuckenMoonFace]

This video is way better than Elsevier. You are the man!

[@rtclinic]

Thank you!!

[@diannedodge461]

Very helpful, thank you. Subscribed.

[@rtclinic]

Thank you Dianne!!

[@katherineandersen5821]

excellent !!!! Thanks

[@freeriderhappy]

excellent explanation, thank you :)

[@RN-ek9ld]

Great video 👍 👍

[@LucasRodrigues-qm2wk]

Thanks a lot!

[@francesanthony1877]

Thank you

[@Suzi_P]

Love love love ur videos

[@rtclinic]

Thank you Suzi P !! 😊

[@kiransunrays518]

Awesome vide and very detailed! My dad will hopefully getting his trach removed in few days.. I am nurse as well and this very helpful ! THANKS V MUCH👏👏🙏😍
Thanks v much

[@rtclinic]

Great for him! I hope he does well!

[@cindysolorzano4314]

I really enjoy your videos, i was wondering if you can explain the different modes on the PB-840 (VC, VC+, Volume support, etc)
Thank you.

[@MrsEricClaus]

I have a quiz on trach care on Monday-very helpful video. Having previously BEEN trached, you’d think I know more. Unfortunately, I wasn’t really aware of my surrounding at the time :(
Thanks! I’ll be sharing with my cohorts from RT school :)

[@rtclinic]

Thank you! I'm so encourage to hear you are in RT school. You will have the ability to truly relate to trached patients like no other RT. It will help you to be a great therapist and even better caregiver!

[@ireneolataiwo1955]

Good Video. Another suggestion will be a video showing how to set up a Newly arriving Trached Patient's room with all necesary devices such as LVN, water traps, Suction devices etc. Thanks

[@rtclinic]

I love this idea 💡 !!

[@chrfr7476]

thanks a lot!

[@alexandermoffitt863]

This video is goldddddddd.

[@rtclinic]

Thank you !!

[@danielarjonilla8788]

Excellent video and very well explained. Many thanks. Just one question. If you are using a non-cuffed fenestrated trachy, is there a fenestrated cannula for them? or are all the cannulas the same?

[@roxannmclaughlin9696]

I love your channel, Ive been a nurse for 13 years, Where were you when I was in Nursing school? Great stuff!!!

[@rtclinic]

Roxann Mclaughlin Thank you 😁

[@AlanGarcia-ib9yo]

@@rtclinic I am in nursing school, and I love watching your videos Stuff makes way more sense
THANK YOU

[@Bill.R.124]

Awesome. As a critical care RN of 37 years and nursing instructor, I "learned" some stuff! I've bearly seen the speaking valve, so that's helpful (especially, if the patient is in respiratory distress and needs to be switched out to a non-fenestrated/cuffed one).

[@malithliyanage7313]

Thank u..

[@ShellyBellCreations]

He knows his stuff. Maybe I should do some care & maintenance of them from a personal experience. I have a Tracheostomy & use the Shiley 7XLT cuffed. I've been having mine since December 2012. Mine is irreversible due to CO2 retaining but I'm ok with it. I only get 30 inner cannulas per month so I'm only able to change it once a day.

[@rtclinic]

Once a day is a good frequency to change your inner cannula.

[@olareny5818]

Can you make a video on alarm settings Real world and NBRC.

[@abdullaaayelasimayer8703]

Thank you so much. I’m a Respiratory tech and wanted to know the difference so when I get called to do trach care I can know what kind of Trach I’m dealing with.

[@rtclinic]

It is real important to know sizes and types of trachs. Surprisingly I've met quite a few RTs that do not know them well.

[@Sternschnuppen85]

Thanks much for this video and understandable explanations! Would you be able to explain how one is able/if able to eat/drink with a trach? Thank you

[@rtclinic]

Sure. The trachea is located anterior to the esophagus. All contents going through the stomach pass through the esophagus. The fluid should never come from the mouth to the trachea unless there is some dysfunction of the epiglottis.

[@happykat1795]

Do you jave videos on how to wean an adult from trach or testing for speaking valve

[@Myluxury1stHair]

My 9 month old son has the Shiley.... but they gave him the Bivonna. I switched back to Shiley. Shiley is better for him in my opinion... but his are Neo and don't look like these adult sized ones.

[@rtclinic]

I've seen a lot of bivonas in infants and children. The most important factors are patient comfort and in little one, parent comfort with the device. Sounds like you are making a good decision.

[@adnanhemayet4995]

watching from Bangladesh

[@rtclinic]

Thanks for watching!!

[@veronicabruce2078]

Pt with radical neck dissection sent home with a red cap on cuff less tracheostomy but it could not be removed for suctioning nor were there any MD orders. How do you remove red capped cuff less trachesotomy?

[@rtclinic]

They are not difficult to remove, but you really should not remove it unless you have a doctor's order. I would call your physician's office today ..if that doesn't work, try the hospital unit that discharged you.

[@Champions8055]

Sir please can you do video on care of tracheostomy patients while on mechanical ventilator
What complications can occur ...
how to treat such complications
When to decannulate .. things to consider for decannulation....
Another video on cricothyroidotomy please ..

[@kowalsj1]

I am looking for a text reference that says that the cuff does not secure the tracheostomy tube in place, but rather the trach ties (as you said at 21:10). Please help.
Also- how much sterile water do you use to inflate the Bivona TTS cuff?? Thanks so much. You have awesome videos. You are a great teacher.

[@rtclinic]

The amount of sterile water is going to vary by the size of their trachea. Continue to instill sterile water until minimal leak or minimal occluding volume is met. Minimal leak is the safest for tissue, but might allow for microaspiration. I like to use minimal occluding volume.

[@anthonyflores4842]

I wonder if you could ever do a home health and hospice community in service

[@rtclinic]

I did an Inservice on oxygen devices about 3 yrs ago for my local home health/hospice company. I would be willing to do a zoom meeting if you think it would be beneficial😁👍

[@lefftyguitar12]

What pressure should be on the manometer when checking the cuff pressure for minimal occlusion?

[@rtclinic]

Usually less than 20 cmH20 but it will very from patient to patient