Tracheostomy Flashcards
(20 cards)
What is the first step in emergency tracheostomy management?
Call for airway expert help or rapid response team or code blue
What should you assess at the mouth and tracheostomy?
Look, listen and feel
What does waveform capnography indicate?
Exhaled carbon dioxide indicates a patent or partially patent airway
If the patient is unresponsive and has absent or abnormal breathing, what should be done?
Perform CPR
What should you apply to both the face and tracheostomy?
High flow oxygen
What should be removed to assess tracheostomy patency?
Remove speaking valve or cap and inner cannula
If a suction catheter can be passed, what does this indicate?
Tracheostomy tube is patent
What should you do if the tracheostomy tube is patent?
Perform tracheal suction
What should be done if the tracheostomy tube is partially obstructed?
Continue ABCDE assessment
What action should be taken if the tracheostomy tube is not patent?
Deflate the cuff (if present)
What should you ensure when looking at the mouth and tracheostomy?
Oxygen re-applied to face and stoma
What should be done if the patient is stable or improving?
Continue ABCDE assessment
What is the action if the patient is not stable or improving?
REMOVE THE TRACHEOSTOMY TUBE
What should be used for primary emergency oxygenation?
Standard ORAL airway manoeuvre
What should cover the stoma during emergency oxygenation?
Swabs and/or hand
What devices can be used for ventilation during emergency management?
- Bag and mask
- Oral or nasal airway adjuncts
- Supraglottic airway device (e.g., LMA)
What should be attempted if ventilation is not successful?
Attempt ORAL intubation
What should be prepared for in case of difficult intubation?
Uncut tube, advanced beyond stoma
What should be applied to the stoma for ventilation?
- Paediatric face mask
- LMA
What should be considered during intubation of the stoma?
- Small tracheostomy tube, 6.0 cuffed ETT
- Bougie
- Airway exchange catheter
- Flexible bronchoscope +/- aintree catheter
