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Background: Metastasis or compress effect of adjacent tumors and thyroid neoplasms are the most common causes for airway obstruction which may lead to emergent intubation or tracheostomy due to respiratory distress. Case: A 61 year-old, female patient with history of papillary cell carcinoma with metastasis to lung, trachea and vocal cords was referred to our hospital with complaint of dyspnea. In the early hours of hospital admission the patient suffered from attacks of apnea and gasping, and initial efforts to control the airway were performed immediately which were not successful. Then it was decided to perform broncoscopy and tracheostomy to provide a safe airway. Conclusion: In the absence of adequate equipment and emergency respiratory situation, it is better to provide a secure airway immediately. For this purpose, we can use low depth of anesthesia without use of muscle relaxants.

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Background: Quality of life in Tracheostomy patients who are discharged from hospital and take care of your home will be affected by the current situation. Therefore, proper training can improve their quality of life also will increase the satisfaction of the training provided. Based on this, the researcher was to investigate the effects of video tape on quality of life and satisfaction in patient with tracheostomy.

Materials and Methods: This research is a Quasi-experimental study in Imam Khomeini and Amir alam Hospital of Tehran University of Medical Sciences in1392. In this study 80 patient were randomly assigned to intervention and control groups. In the discharge questionnaire on demographic characteristics, quality of life (SF-36) and satisfaction (VAS) were completed. The intervention group received education film for home use addition to the routine teaching of hospital. Two months later the patient's quality of life and patient satisfaction were assessed again with the above instruments. The data were analyzed with using statistical SPSS (V.20).

Results: Statistical analysis showed the difference was significant in both groups after the intervention (p=0.003). The quality of life in the intervention group at two months after the discharge in role limitation due to emotional problems, emotional status, social functioning, energy, public health, and the pain had increased. Average satisfaction with the training of the two groups was statistically significant difference (p<0.001).

Conclusion: The results showed that in addition to routine education to provide educational CDs for home use at discharge can improve the quality of life as well as increased satisfaction with training provided to patient’s tracheostomy.