TY - JOUR T1 - Tracheostomy Decannulation JF - Respiratory Care SP - 538 LP - 541 VL - 50 IS - 4 AU - Kent L Christopher Y1 - 2005/04/01 UR - http://rc.rcjournal.com/content/50/4/538.abstract N2 - The respiratory therapist plays an integral role in tracheostomy tube decannulation. Removal of the tracheostomy tube should be considered only if the original upper-airway obstruction is resolved, if airway secretions are controlled, and if mechanical ventilation is no longer needed. Predictors of success include ability to produce a vigorous cough and the absence of aspiration. Tracheostomy decannulation requires caution, particularly following a prolonged period of tracheostomy use. The tracheostomy tube decannulation process is well suited for therapist-implemented protocols. ER -