Emergency Tracheostomy Tube Reinsertion - Airway Flashcards
According to the emergency tracheostomy tube reinsertion matrix what is your approach if the pt has had the tube in place for <7 days and has no history or airway obstruction or difficult airway?
Lower risk (green)
Attempt BVM/BiPAP/intubation from above first
If that fails consider reinsertion with trach tube
According to the emergency tracheostomy tube reinsertion matrix what is your approach if the pt has had the tube in place for >7 days and has no history or airway obstruction or difficult airway?
Lower risk (green)
Attempt reinsertion with trach tube first, then bougie with cuffed ETT (6.0 or less)
If these fail, manage from above
According to the emergency tracheostomy tube reinsertion matrix what is your approach if the pt has had the tube in place for <7 days with history of airway obstruction or difficult airway or laryngectomy tube?
High risk (red)
Mandatory patch between sending MD and TMP
Trach tube must be sutured in place
Deferral of transport until track maturity considered OR
Sending escort who can manage surgical airway issues
According to the emergency tracheostomy tube reinsertion matrix what is your approach if the pt has had the tube in place for >7 days with history of airway obstruction or difficult airway or laryngectomy tube?
Medium risk (yellow)
Confirm at least 1 trach tube change has occurred without difficulty
Attempt reinsertion with trach tube, then bougie with ETT (6.0 or less)
If that fails manage from above (unless laryngectomy)
Under the emergency tracheostomy tube reinsertion MDSO what is:
The max number of attempts?
The minimum trach equipment for transport?
The correct tension on the tracheostomy tie?
Max number of reinsertion attempts is 2
Minimum spare inner cannula for trach tube & complete spare tracheostomy tube one size smaller than patient’s
Snug when you can only fit 2 fingers between pt’s neck & tie
