Tracheostomy complications: Difference between revisions
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== | ==Clinical Features== | ||
==Differential Diagnosis== | |||
{{Tracheostomy DDX}} | |||
==Evaluation== | |||
Attempt to find out if patient has a tracheostomy vs laryngectomy from history. If the latter is present, the stoma is the only way to ventilate the patient. | |||
==Management<ref>National Tracheostomy Safety Project. Review date 1/4/2014</ref>== | |||
*Call for airway expert help | *Call for airway expert help | ||
*Sit patient up or in a position of comfort | *Sit patient up or in a position of comfort | ||
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*Remove inner cannula | *Remove inner cannula | ||
*If unable to pass suction catheter at this point, deflate cuff and consider removing tracheostomy tube | *If unable to pass suction catheter at this point, deflate cuff and consider removing tracheostomy tube | ||
==See Also== | ==See Also== | ||
Revision as of 20:19, 12 May 2018
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
Attempt to find out if patient has a tracheostomy vs laryngectomy from history. If the latter is present, the stoma is the only way to ventilate the patient.
Management[2]
- Call for airway expert help
- Sit patient up or in a position of comfort
- Place on trach collar oxygen or place non-rebreather mask mask on trachesostmy while preparing
- If any doubt about tracheosomy vs. laryngectomy, be sure to oxygenate nasal/oral airway in addition to stoma
- 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
See Also
References
- ↑ https://www.ccam.net.au/handbook/tracheostomy/ Date accessed: 4/24/2018
- ↑ National Tracheostomy Safety Project. Review date 1/4/2014
https://www.ccam.net.au/handbook/tracheostomy/ Date accessed: 4/24/2018