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To decannulate or not to decannulate: A combination of readiness for the floor and floor readiness?*
Critical Care Medicine, 2011The trend toward early tracheostomy in intensive care units has led to increased numbers of tracheostomized patients (1). Together with increased pressure for earlier discharge from the intensive care unit (ICU), this practice contributed to a greater number of tracheostomized patients transferred ...
Ulrich, Schmidt +2 more
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Respiratory Care, 2005
The respiratory therapist plays an integral role in tracheostomy tube decannulation. Removal of the tracheostomy tube should be considered only if the original upper-airway obstruction is resolved, if airway secretions are controlled, and if mechanical ventilation is no longer needed.
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The respiratory therapist plays an integral role in tracheostomy tube decannulation. Removal of the tracheostomy tube should be considered only if the original upper-airway obstruction is resolved, if airway secretions are controlled, and if mechanical ventilation is no longer needed.
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Infant tracheotomy — endoscopy and decannulation
International Journal of Pediatric Otorhinolaryngology, 1990The records of 73 infants aged 24 months or less who underwent tracheotomy in a 10-year period were reviewed. Two common problems before decannulation were granulations and suprastomal collapse of the anterior tracheal wall above the internal stoma.
Bruce Benjamin
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Reflections on Difficult Decannulation
Archives of Otolaryngology - Head and Neck Surgery, 1971A new approach is suggested for the problem of difficult decannulation in tracheostomized infants and children in whom no evident obstruction can be found. The so-called "decannulation panic" is probably insufficient to explain the dyspnea alone. Other factors which may be involved include some effects of normal and pathological laryngeal and tracheal ...
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International Journal of Evidence-Based Healthcare, 2019
Despite the undisputable benefits of tracheostomy, it has been reported to have links with impaired communication, reduced quality of life and a risk of health complications such as bleeding, tracheal stenosis and in some cases resulting in mortality.
John, Kutsukutsa +4 more
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Despite the undisputable benefits of tracheostomy, it has been reported to have links with impaired communication, reduced quality of life and a risk of health complications such as bleeding, tracheal stenosis and in some cases resulting in mortality.
John, Kutsukutsa +4 more
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Pediatric tracheotomy decannulation
Current Opinion in Otolaryngology & Head and Neck Surgery, 2015Pediatric tracheotomy is a common procedure. Given the risk of morbidity and mortality associated with long-term placement, it is imperative that decannulation is considered once the indication for tracheotomy placement is corrected or resolved. In this article, we discuss the critical steps necessary for the assessment of readiness for decannulation ...
Philip D, Knollman, Fuad M, Baroody
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Decannulation Difficulties in Tracheotomized Children
Acta Oto-Laryngologica, 1960The importance of proper procedure in decannulation is emphasized. The cannula has to be removed as early as possible. It has been shown in large series that, if decannulation cannot be performed in three to four days, decannulation difficulties are likely to arise. Some cases with long-standing tracheostoma illustrate this fact.
H, DIAMANT, J, KINNMAN, L, OKMIAN
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Decannulation from the Tenuous Aorta
The Annals of Thoracic Surgery, 1981Arterial decannulation from a diseased aorta at high pressure can be hazardous. A technique increasing the safety of this maneuver is described.
J M, Piehler, J R, Pluth
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Method for Difficult Decannulations in Children
Archives of Otolaryngology - Head and Neck Surgery, 1965Decannulation difficulties in prolonged tracheostomized children are well known to those with experience on a large pediatric service. Not infrequently a long and costly hospitalization results from the repeated failure to extubate a small child following a tracheostomy.
L M, GREENBERG, H T, DAVENPORT, G, SHIMO
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2020
The assessment of when and under what conditions decannulation should take place is the responsibility of the medical disciplines in close cooperation with therapists and nurses. This chapter, which is important for decannulation, contains the answers to the questions under which conditions, when, where and how decannulation is to be performed and ...
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The assessment of when and under what conditions decannulation should take place is the responsibility of the medical disciplines in close cooperation with therapists and nurses. This chapter, which is important for decannulation, contains the answers to the questions under which conditions, when, where and how decannulation is to be performed and ...
openaire +1 more source