Placement of a stay suture during surgical tracheostomy is advocated for improving control of the airway intraoperatively and for the emergency management of inadvertent decannulation
Further, failure of the nurse to recognize that there is a difference in how to provide respiratory support and patient management for an accidental decannulation
in a tracheotomy patient with an unobstructed versus an obstructed airway may lead to patient death due to improper action on the part of the nurse.
Increased Rate of Postoperative Decannulation
-- When suprastomal fibroma is sufficiently removed, clinicians can proceed with postoperative decannulation
The form is used upon admission or readmission to the facility, at scheduled periodic tracheostomy tube changes, after an unplanned decannulation
, and during weaning attempts.
The patient's postoperative course was uncomplicated, and he was discharged to home with plans for future decannulation
Over the following two weeks her major goals were tracheal decannulation
and maintaining a PEG feeding regime.
A "button" (or space holder for a tracheostomy) was eventually placed - the final stage prior to complete decannulation
In some cases, the customer was unable to disconnect the accessory or excessive force led to decannulation
of the tube, and an emergency tracheostomy tube change was required.
He was aphonic after decannulation
and was diagnosed with "vocal fold paralysis.
Tracheal stenosis can be very difficult to treat, often presenting as an airway emergency, weeks or months following extubation or decannulation
Restoration of physiologic PEEP as well as utilizing the expiratory muscles during expiration may expedite weaning and decannulation
for many patients who meet the criteria for use of the closed position valve.
As general acceptance of cricothyroidotomy has grown, so too has the controversy between leaving the cricothyroid portal until decannulation
versus conversion to a tracheostomy for continued airway access following stabilization of the trauma patient.
The hospital staff noted a rapid hemostasis time of only four minutes after decannulation
The tracheotomy tube was left in place, but a comprehensive pulmonary and sleep evaluation for possible decannulation
It is difficult to identify tracheal stenosis early because many patients undergoing PT are critically ill and may die or be discharged before decannulation