Tracheostomy in Kids Part 2

https://intensivecarehotline.com/questions/tracheostomy-in-kids-part-2/

Tracheostomy in kids part 2

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A tracheostomy may be permanent, long-term or short-term, depending on the needs of your child. Your child will have regular medical appointments, and the removal of the tracheostomy tube will be planned once the medical team is confident that your child can breathe well without it.

Before it is determined that your child no longer require tracheostomy tube, your child’s doctor may conduct trials to determine how your child tolerate breathing through the nose and mouth again. These trials are usually done via two methods: weaning or capping. Often times, capping will be conducted at the end of a weaning trial to ensure your child is ready to return to breathing through the upper respiratory tract.

WEANING

This process can be conducted various ways, although the most common is to begin by using a Passy-Muir Speaking Valve (PMV) if your child is not already using one. The PMV requires your child to exhale through the nose/mouth while still allowing them to inhale via the tracheostomy tube.

In this sense, your child can breathe only partially through the tube which serves as a good determinant in assessing if your child may be ready to be decannulated. Although not always, if your child is unable to tolerate the PMV during prolonged use throughout the day, it is unlikely your child is not ready to be decannulated.

Continuation...
https://intensivecarehotline.com/questions/tracheostomy-in-kids-part-2/