Early Tracheostomy Tube Change in Children

When to change a tracheostomy tube.

Knowing when to change a tracheostomy tube is important for optimal management of all patients with tracheostomy tubes. The first tracheostomy tube change, performed 1-2 weeks after placement, carries some risk and should be performed by a skilled operator in a safe environment. The risk associated with changing the tracheostomy tube then usually diminishes over time as the tracheo-cutaneous tr...

A Broken Metallic Tracheostomy Tube

Intraoperative Tracheostomy Tube Customization

Objectives: This article describes how to make a customized tracheostomy tube immediately in the operating room setting. This is particularly critical when a commercial customized tracheostomy tube cannot be readily obtained. Study Design: Case presentation. Methods/Results: A 73-year-old female was seen in our clinic for management of a recurrent invasive paraganglioma of the thyroid. She unde...

Percutaneous tracheostomy tube obstruction: warning.

STUDY OBJECTIVES To determine the patency of standard and modified Portex tracheostomy tubes inserted by the percutaneous dilatational technique. DESIGN Prospective observational study. SETTING Medical-surgical ICUs in a tertiary care community hospital. PATIENTS Medical-surgical ICU patients requiring tracheostomy. INTERVENTIONS Consecutive medical-surgical ICU patients requiring trach...

A Broken Metallic Tracheostomy Tube

Tracheostomy is an upper airway bypass which is life saving in certain occasions. However, there are several early and late complications. One of these rare mishaps is the broken cannula, few cases of which has been reported so far. Herein we are reporting a rare case of broken tube as a late complication of indwelling tracheostomy tube. A 52 year old woman with moderate respiratory distress wa...