Shift by the nurse caring for the patient to ensure all equipment is available.Ī key concept of tracheostomy management is to ensure patency of the airway (tracheostomy tube). Kit is to accompany the patient at all times and this must be checked each The internal and external diameters and length can vary between different tracheostomy tube types and are of importance in the selection for individual patients. There are a variety of different tracheostomy tubes available. Trache or Tracheostomy tube: a curved hollow tube of rubber or plastic inserted into the trachea to relieve airway obstruction, facilitate mechanical ventilation or the removal of tracheal secretions.Tracheal Suctioning: is a means of clearing the airway of secretions or mucus through the application of negative pressure via a suction catheter.Tracheostomy: a surgical opening between 2 - 3 (or 3 - 4) tracheal rings into the trachea below the larynx. ![]() Stoma: a permanent opening between the surface of the body, and an underlying organ (in this case, between the trachea and the anterior surface of the neck).Peek Inspiratory Pressure (PIP) is pre-set, and PEEP can be adjusted using the valve on the T piece. Neopuff TM is the resuscitation device used at the bedside in Neonatal Unit at RCH Breaths are delivered by occluding a T piece. Neopuff® : is a flow controlled, pressure limited mechanical device specifically designed for neonatal resuscitation.Humidification: the mechanical process of increasing the water vapour content of an inspired gas.Previously referred to as ‘swedish nose”. ![]() Heat moisture exchangers (HME): a hygroscopic material that retains the child's exhaled heat and moisture, which is then returned to subsequent inhaled air (gas).Decannulation: removal of a tracheostomy tube.The aim of the guideline is to outline the principles of management for patients with a new or existing tracheostomy for clinicians at the Royal Children’s Hospital (RCH). Is placed to overcome upper airway obstruction, facilitate mechanical ventilator support and/or the removal Post-Operative Management of a New TracheostomyĪ tracheostomy is a surgical opening into the trachea below the larynx through which an indwelling tube ![]() The Resuscitation Flowchart (under review)
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