Transcription of Tracheostomy Decannulation - Respiratory Care
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Tracheostomy Decannulation - Respiratory Care
Tracheostomy DecannulationHeidi H O Connor MD and Alexander C White MDIntroductionProcess of Weaning and Routine DecannulationManaging Accidental DecannulationPost- Decannulation MonitoringDecannulation Failure and Alternatives to DecannulationSummaryTracheostomy tubes are placed for a variety of reasons, including failure to wean from mechanicalventilation, inability to protect the airway due to impaired mental status, inability to manageexcessive secretions, and upper-airway obstruction. A Tracheostomy tube is required in approxi-mately 10% of patients receiving mechanical ventilation and allows the patient to move to astep-down unit or long-term care hospital. The presence of a Tracheostomy tube in the trachea cancause complications, including tracheal stenosis, bleeding, infection, aspiration pneumonia, andfistula formation from the trachea to either the esophagus or the innominate artery.
Tracheostomy Decannulation Heidi H O’Connor MD and Alexander C White MD Introduction Process of Weaning and Routine Decannulation Managing Accidental Decannulation
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