Tracheostomy dislodgement: Difference between revisions
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== | ==Evaluation== | ||
*Determine whether tube is dislodged from the trachea, but not from the neck | *Determine whether tube is dislodged from the trachea, but not from the neck | ||
**Does a suction catheter pass without difficulty? If not, remove the tube | **Does a suction catheter pass without difficulty? If not, remove the tube | ||
==Management== | ==Management== | ||
*If fresh tracheostomy, may be able to pull at stay sutures to bring airway anterior | |||
*BVM and look for bubbling at tracheostomy site | |||
==Disposition== | ==Disposition== | ||
Latest revision as of 18:40, 26 July 2016
Background
Tracheostomy Sizes
- Average size:
- Adult: 5-10mm
- Peds: 2.5-6.5mm
Tracheostomy vs laryngectomy
It is important to differentiate between tracheostomy vs laryngectomy
- If laryngectomy[1]:
- The stoma is the only way to ventilate the patient.
- Patient cannot be orally intubated
Clinical Features
Differential Diagnosis
Tracheostomy complications
Evaluation
- Determine whether tube is dislodged from the trachea, but not from the neck
- Does a suction catheter pass without difficulty? If not, remove the tube
Management
- If fresh tracheostomy, may be able to pull at stay sutures to bring airway anterior
- BVM and look for bubbling at tracheostomy site
Disposition
See Also
External Links
References
- ↑ https://www.ccam.net.au/handbook/tracheostomy/ Date accessed: 4/24/2018