Barriers to Tracheostomy Weaning: A Case Report of Sialorrhea in a Patient with Persistent Seizure Activity and Head Injury

We describe a single case following the acute hospital journey of 54 year old admitted due to seizure activity and associated traumatic brain injury. The patient was cared for in specialist neurosurgical centre. stay complicated by difficulty managing activity. had several failed extubations high oral secretion burden, resulting percutaneous tracheostomy. Prolonged tracheostomy weaning ensued impact activity, pharmacological interventions manage both management (including use Botulinum Toxin salivary glands), dysphagia. Successful decannulation achieved 141 days after insertion with reduction anti-epileptic drug administration.