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Case Study: A 68-year old male presented to the Emergency Department with a progressively enlarging right neck mass, new dyspnea, dysphagia, and hoarse voice.

Tracheostomy is a commonly performed procedure indicated for facilitation of prolonged ventilatory support, relief of upper airway obstruction and management of secretions. Postoperative complications may arise and are associated with significant morbidity and mortality1. It has been shown that health care professionals lack knowledge in the management of displaced tracheostomy tubes.2 A 68-year old

Emergency Equipment

Originally published on October 12, 2010 Nurse C.D. asks, "What type of emergency equipment should I have at the bedside?" Answer: One must always be prepared for an emergency, and the key is to have essential items always available. These items include: extra tracheostomy tubes of the same size and type, as well as one

Trach Dislodgement

Originally published on July 23, 2011 B.L. asks, "How does tracheostomy dislodgement happen?" Answer: Dislodgement can be one of the most serious complications of having a tracheostomy.  Dislodgement can be even more serious than complete decannulation; because when the tube is completely removed from the stoma (decannulation), the problem is clearly visible.  However, when the tube

Emergency Equipment

Nurse C.D. asks, "What type of emergency equipment should I have at the bedside?" Answer: One must always be prepared for an emergency, and the key is to have essential items always available. These items include: extra tracheostomy tubes of the same size and type, as well as one size smaller, suction catheters (and a

Common Trach Emergencies

Dr. E.H asks, "What are the most common emergencies with tracheostomies?" Answer: The two most common emergencies with tracheostomies are mucus plugs and inadvertent decannulation/displacement. Mucus plugs occur because of inadequate hydration and inactivity, resulting in thickening and stasis of secretions. Initial presenting symptoms of mucus plugs are respiratory distress and/or desaturation. Treatment involves removing/cleaning

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