Tracheostomy in the neurosurgical setting is an important tool for airway maintenance, especially in Cerebellopontine angle tumour patients. A retrospective study was conducted at the Neurosurgical centre of a tertiary care institute for analyzing the factors dictating early or late tracheostomy and its consequent early or late decannulation. 170 records were retrieved of which 15.8% underwent ...

Tracheostomy is a common surgical procedure performed in patients with severe head injury to facilitate prolonged airway and ventilatory support. Decannulation is the procedure of removing the tracheostomy tube either gradually by downsizing the tube or abruptly in a single sitting. This prospective study was done to evaluate gradual vs abrupt techniques for successful decannulation in tracheos...

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...

INTRODUCTION Tracheostomy is probably the most common surgical procedure in critically ill patients and is generally performed to facilitate mechanical ventilation weaning. Evidence-based guidelines have confirmed the benefits of tracheostomy weaning protocols and of the physiotherapists engagement in this process; however, no consensus decannulation criteria are currently available. Therefore,...

OBJECTIVES/HYPOTHESIS To develop and assess the feasibility of a new standardized protocol to guide tracheostomy decannulation. STUDY DESIGN Descriptive review of quality improvement project. METHODS A quality improvement project was conducted in the inpatient setting of a tertiary urban academic hospital. Adult patients who had received a tracheostomy and for whom the indication for trache...

OBJECTIVES/HYPOTHESIS Open bedside tracheotomy (OBT) in the intensive care unit (ICU) has been advocated as a safe and more cost-effective alternative to tracheotomy performed in the operating room. The objective of this study is to determine predictive factors for postoperative outcomes, including decannulation and in-hospital mortality following OBT. STUDY DESIGN Retrospective chart review....

BACKGROUND Weaning from tracheostomy has implications in management, quality of life, and costs of ventilated patients. Furthermore, endotracheal cannula removing needs further studies. Aim of this study was the validation of a protocol for weaning from tracheostomy and evaluation of predictor factors of decannulation. METHODS Medical records of 48 patients were retrospectively evaluated. Pat...

Objectives. (1) Describe an institutional protocol that focuses on the essential steps for decannulation of pediatric patients with long-term tracheostomies. (2) Discuss the preliminary observations of the safety of this protocol in regard to decannulation failures and successes in a selected patient population. Study Design. Case series with chart review. Setting. A tertiary pediatric hospital...

OBJECTIVES/HYPOTHESIS Gradual decrease in tube size and tube capping are considered the standard of care for tracheostomy decannulation. Both of these actions result in increased airway resistance. Immediate decannulation may offer a more tolerable approach. OBJECTIVE To assess the feasibility of immediate tracheostomy decannulation compared with the traditional decannulation methods. METHO...

OBJECTIVE To investigate effects of tracheostomy tube on the movement of the hyoid bone and larynx during swallowing by quantitative analysis of videofluoroscopic swallowing study. METHOD 19 adult stroke patients with tracheostomies, who met the criteria of decannulation participated. Serial videofluroscopic swallowing studies were done over 14 days before decannulation, within 24 hours befor...