No patient underwent a repeat tracheostomy after an elective decannulation
and no patient died during the PDT due to any intraprocedural complications.
should be considered only when the patient is clinically stable and able to expectorate.
Revised respiratory data-collection efforts to more accurately measure wean rates and unplanned tracheostomy tube decannulations
, and respond to any trends or concerns.
The appendices discuss respiratory care, ventilator-dependent quadriplegia, weaning for ventilator-dependent quadriplegia, weaning discontinuation, cuff deflation, cuff deflation discontinuation, high cuff pressures, post-tracheoplasty/post-extubation, criteria for decannulation
of trach patients, and evaluation of high peak pressure on mechanically ventilated patients.
They are also taught how to respond to respiratory emergencies including accidental decannulation
and how to perform cardiopulmonary resuscitation on a child with a tracheostomy.
Over the following two weeks her major goals were tracheal decannulation
and maintaining a PEG feeding regime.
A "button" (or space holder for a tracheostomy) was eventually placed - the final stage prior to complete decannulation
Although clinically disease-free after 18 months, tracheotomy decannulation
was delayed due to radiotherapy side effects (causing an edematous larynx and mucositis) as well as suprastomal tracheal collapse.
3) However, for large granulomas, early intervention is recommended because they can induce bleeding, affect voice production, predispose a patient to accidental decannulation
, and/ or cause respiratory distress (and death in rare cases).
We have used a vertical incision in all patients in the trachea without any difficulties at the first tube change or stenosis at the time of decannulation