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Managing the Artificial Airway RC 275
Tracheotomy/Tracheostomy ,[object Object],[object Object],[object Object]
RCP’s Role During the Procedure ,[object Object],[object Object],[object Object]
Try to leave the fresh trach undisturbed for 48 hours Suctioning obviously must be performed but as gently as possible
Complications Associated with ET and Trach Tubes Can be due to the insertion procedure or from having the tube in the airway
Intubation Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tracheotomy Complications ,[object Object],[object Object],[object Object],[object Object]
Complications due to irritation from the tube and cuff ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications Due to High Cuff Pressures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Effects of Excessive Cuff Pressure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cuff Pressure Should NOT Exceed 25-30 cmH2O! The pressure in the cuff should be checked often, eg each ventilator check
Cuff Inflation Management Techniques ,[object Object],[object Object]
MOV- Minimal Occlusive Volume ,[object Object],[object Object]
Minimal Leak Technique ,[object Object],[object Object],[object Object]
Again, these techniques should be utilized each time the cuff is checked If high pressures are needed initially, the artificial airway is probably too small If cuff pressures gradually increase, damage to the trachea may be occurring
Extubation Done when none of the four indications for an artificial airway exist
Extubation Technique ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Possible Complications ,[object Object],[object Object],[object Object],[object Object]
Post-Extubation Treatment ,[object Object],[object Object],[object Object],[object Object]
Time to face the music!

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Managing the artificial

  • 1. Managing the Artificial Airway RC 275
  • 2.
  • 3.
  • 4. Try to leave the fresh trach undisturbed for 48 hours Suctioning obviously must be performed but as gently as possible
  • 5. Complications Associated with ET and Trach Tubes Can be due to the insertion procedure or from having the tube in the airway
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11. Cuff Pressure Should NOT Exceed 25-30 cmH2O! The pressure in the cuff should be checked often, eg each ventilator check
  • 12.
  • 13.
  • 14.
  • 15. Again, these techniques should be utilized each time the cuff is checked If high pressures are needed initially, the artificial airway is probably too small If cuff pressures gradually increase, damage to the trachea may be occurring
  • 16. Extubation Done when none of the four indications for an artificial airway exist
  • 17.
  • 18.
  • 19.
  • 20. Time to face the music!