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. Final removalof the Tracheostomy tube is an important step in the recovery from chronic critical illness and canusually be done once the indication for the tube placement has words: mechanicalventilation; Tracheostomy ; Decannulation ; speaking valve; noninvasive ventilation; long-term care hos-pital.
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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