Pediatric tracheostomy decannulation: post implementation of tracheostomy team and decannulation protocol
نویسندگان
چکیده
منابع مشابه
Tracheostomy decannulation.
Tracheostomy tubes are placed for a variety of reasons, including failure to wean from mechanical ventilation, inability to protect the airway due to impaired mental status, inability to manage excessive secretions, and upper-airway obstruction. A tracheostomy tube is required in approximately 10% of patients receiving mechanical ventilation and allows the patient to move to a step-down unit or...
متن کاملTracheostomy Decannulation Kent L Christopher MD RRT Introduction Decannulation Decision Making Deflated-Cuff Tracheostomy Occlusion Procedure Benefits of Decannulation Protocol-Guided Decannulation Physiologic Effects of Decannulation
The respiratory therapist plays an integral role in tracheostomy tube decannulation. Removal of the tracheostomy tube should be considered only if the original upper-airway obstruction is resolved, if airway secretions are controlled, and if mechanical ventilation is no longer needed. Predictors of success include ability to produce a vigorous cough and the absence of aspiration. Tracheostomy d...
متن کاملTracheostomy: from insertion to decannulation.
Tracheostomy is a common surgical procedure, and is increasingly performed in the intensive care unit (ICU) as opposed to the operating room. Procedural knowledge is essential and is therefore outlined in this review. We also review several high-quality studies comparing percutaneous dilational tracheostomy and open surgical tracheostomy. The percutaneous method has a comparable, if not superio...
متن کاملTracheostomy decannulation: marathons and finish lines
Critically ill patients with a tracheostomy who are recovering from respiratory failure eventually require evaluation for airway decannulation. Although expert recommendations guide decisions for managing decannulation, few if any investigative data exist to inform evidence-based care. Consequently, practice variation limits the effectiveness of weaning from tracheostomy. In an investigation re...
متن کاملDeterminants of tracheostomy decannulation: an international survey
BACKGROUND Although tracheostomy is probably the most common surgical procedure performed on critically ill patients, it is unknown when a tracheostomy tube can be safely removed. METHODS We performed a cross-sectional survey of physicians and respiratory therapists with expertise in the management of tracheostomized patients at 118 medical centers to characterize contemporary opinions about ...
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ژورنال
عنوان ژورنال: Australian Journal of Otolaryngology
سال: 2020
ISSN: 2616-2792
DOI: 10.21037/ajo.2020.03.07