View source for Tracheostomy complications

==Background==
{{Tracheostomy background}}

==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.<ref>https://www.ccam.net.au/handbook/tracheostomy/ Date accessed: 4/24/2018</ref>

==Management<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
*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

==Disposition==

==See Also==
*[[Medical device complications]]
*[[Surgical airways]]

==External Links==
*[http://www.emdocs.net/trach-travails-need-to-know-ed-tricks-for-airway-emergencies-in-tracheostomy-patients/ emDocs - Need-to-Know ED Tricks for Airway Emergencies in Tracheostomy Patients]
*Justin Morgenstern, "Respiratory distress in the patient with a tracheostomy (update)", First10EM blog, July 25, 2018. Available at: https://first10em.com/tracheostomy/

==References==
<references/>
[[Category:ENT]]
[[Category:Surgery]]
[[Category:Pulmonary]]