Quick Tip for families in ICU: When to Remove a Tracheostomy!

https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-when-to-remove-a-tracheostomy/

Quick tip for families in ICU: when to remove a tracheostomy!

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Hi, it’s Patrik Hutzel from intensivecarehotline.com with another quick tip for families in intensive care.

So this week, we were working with a client who wanted to know what needs to happen for the tracheostomy to be removed or paraphrasing the question differently is, when can a patient with a tracheostomy be decannulated?

So here is the quick summary of this.

So a tracheostomy can be removed when a patient is off the ventilator, has a good, strong cough, can manage their own secretions. It’s almost strong enough to cough out the tracheostomy just with a cough.

Next, they can tolerate a speaking valve for a few hours, and next there are minimal oxygen support and so basically breathing on room air.
Next, they need to have passed the swallowing test or a blue dye test that shows that they can swallow so there’s no risk of aspiration once the tracheostomy has been removed.
And last but not least, an arterial blood gas should be done and you should be particularly checking for the oxygen levels in the blood and the carbon dioxide levels as well as the pH levels.
So that’s my quick tip for today.

This is Patrik Hutzel from intensivecarehotline.com. Go and check out our website intensivecarehotline.com. Call me if you have a loved one in intensive care and you’ll need consulting and advocacy. Comment down below this video what questions that you have. Like the video and subscribe to my YouTube channel. Take care.