Tube Changes – Trach Resource

Case Study: A 68-year old male presented to the Emergency Department with a progressively enlarging right neck mass, new dyspnea, dysphagia, and hoarse voice.

Tracheostomy is a commonly performed procedure indicated for facilitation of prolonged ventilatory support, relief of upper airway obstruction and management of secretions. Postoperative complications may arise and are associated with significant morbidity and mortality1. It has been shown that health care professionals lack knowledge in the management of displaced tracheostomy tubes.2 A 68-year old

Positioning for Trach Reinsertion

Originally published on July 30, 2010 C.L. asks, "If inadvertent decannulation occurs, what is the best patient positioning for reinsertion?" Answer: Supine positioning with neck hyperextension is ideal for reinsertion. However, this may not be appropriate for all patients. The key is visualization of the stoma and adequate lighting. I have reinserted trachs in all

Frequency of Tube Changes

Originally published on November 23, 2010 J.C. asks, "How often should a tracheostomy tube be changed? Answer: Tracheostomy tubes should be routinely changed on a regular basis to prevent infection and other complications; and in the case of children, to keep up with their growth and development. Most manufacturers recommend changing their tubes every 30-60