Transcription of Tracheostomy Decannulation - Respiratory Care
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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.
tracheostomy-tube-occlusion protocol can be safely de-cannulated without first undergoing fiberoptic bronchos-copy.17 It is our current practice to routinely inspect the stoma, trachea, subglottic space, and vocal cords either at
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Abnormal Ventilation, Abnormal, Mechanical Ventilation, The Verification of Ventilation Systems, Ve n tila tio n, Pathophysiology of Respiratory Failure and, Abnormal, SODIUM DODECYLBENZENE SULFONATE, New Jersey, Fluorouracil, Exercise, Columbia University, Based Ventilator Weaning and Discontinuation