ICU SAQs · Airway management
Tracheostomy tube displacement in the first week
A CICM SAQ on tracheostomy displacement in the un-matured tract — the NTSP algorithm (intubate from above, never reinsert blindly), and the principles of tracheostomy emergencies.
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Prompt
Three days after a percutaneous tracheostomy, the tracheostomy tube becomes displaced. The patient is hypoxic and distressed. Outline your immediate management.
Question
Three days after a percutaneous tracheostomy, the tracheostomy tube becomes displaced. The patient is hypoxic and distressed. Outline your immediate management.[1]
References3ShowHide
- [1]Young D, Harrison DA, Cuthbertson BH, Rowan K; TracMan Collaborators. Effect of early vs late tracheostomy placement on survival (TracMan). JAMA, 2013.PMID 23695482
- [2]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.
- [3]McGrath BA, Bates L, Atkinson D, Moore JA; National Tracheostomy Safety Project. Multidisciplinary guidelines for the management of tracheostomy and laryngectomy airway emergencies. Anaesthesia, 2012.PMID 22731935