Tracheostomy complications

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  • Pts who have undergone a laryngectomy cannot be orally intubated
  • Average size:
    • Adult: 5-10mm
    • Peds: 2.5-6.5mm
Shiley™ trach tube


  • 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


  1. National Tracheostomy Safety Project. Review date 1/4/2014