Guidelines for the Care of a Patient with Tracheostomy

Temporary tracheostomy is now a common procedure in intensive care as it has become regarded as benificial for the general critical care population who are long-term ventilated. Tracheostomies can be temporary or permanent and performed using either an open surgical technique, or percutaneously. As with all procedures, the benefits are associated with risk, both during and after insertion. The most common problems with tracheostomies in critical care, are related to obstruction or displacement.

Every Hospital must have a procedure for managing patients whose tracheostomy is blocked or displaces. Staff must be aware of this and receive appropriate training to manage the problem.

These guidelines are developed in order to reduce morbidity and morality in this population of patients and also to give a clear guidance for those intensive care who encounter difficulties in managing them.

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