RT Journal Article
SR Electronic
T1 Tracheostomy Decannulation
JF Respiratory Care
FD American Association for Respiratory Care
SP 538
OP 541
VO 50
IS 4
A1 Christopher, Kent L
YR 2005
UL http://rc.rcjournal.com/content/50/4/538.abstract
AB 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.