854 Paediatric Tracheostomy Decannulation: An Updated Protocol at Nottingham University Hospitals (NUH)

Abstract Introduction Tracheostomy decannulation is an extremely important part of tracheostomy care in paediatric patients. Due to the increased risk morbidity1 (bleeding, respiratory infection, airway plugging, accidental decannulation) and mortality2 (0.5-3.6%) associated with prolonged tracheostomies, it strongly advised decannulate patient as soon underlying cause for placement corrected or resolved3. A simple navigate protocol required order establish a safe efficient way well knowing when how decannulate. The literature varies widely regard optimal method process leading can often be different each individual patient; such, this may require review on case-by-case basis. Protocol We have developed NUH specific format flow chart act guideline successfully decannulating tracheostomies. It provides foundations assessing patient’s clinical readiness subsequent progression decannulation. incorporated Mitchell et al’s 2013 consensus statement primary resource creation protocol. suitable any member staff looking after patients whether they situated ward, PHDU PICU. In addition from parent teams nursing staff, input long-term ventilation (LTV) team who offer support timing