Tracheostomy complications: Difference between revisions
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==Background== | ==Background== | ||
{{Tracheostomy background}} | {{Tracheostomy background}} | ||
==Approach<ref>National Tracheostomy Safety Project. Review date 1/4/2014</ref>== | |||
*Call for airway expert help | |||
*Sit patient up or in a position of comfort | *Sit patient up or in a position of comfort | ||
*Place on trach collar oxygen or place NRB mask on trachesostmy while preparing | *Place on trach collar oxygen or place NRB mask on trachesostmy while preparing | ||
*Don faceshield, have suction, oxygen, flushes (possibly surgical airway supplies) | *Don faceshield, have suction, oxygen, flushes (possibly surgical airway supplies) | ||
*Remove speaking valve or cap (if present) | |||
*Remove inner cannula | |||
*If unable to pass suction catheter at this point, deflate cuff and consider removing tracheostomy tube | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 18:24, 20 August 2017
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
Approach[2]
- Call for airway expert help
- Sit patient up or in a position of comfort
- Place on trach collar oxygen or place NRB mask on trachesostmy while preparing
- Don faceshield, have suction, oxygen, flushes (possibly surgical airway supplies)
- Remove speaking valve or cap (if present)
- Remove inner cannula
- If unable to pass suction catheter at this point, deflate cuff and consider removing tracheostomy tube
Differential Diagnosis
Tracheostomy complications
See Also
References
- ↑ https://www.ccam.net.au/handbook/tracheostomy/ Date accessed: 4/24/2018
- ↑ National Tracheostomy Safety Project. Review date 1/4/2014