Loss of the airway during tracheostomy: rescue oxygenation and re-establishment of the airway

McGuire, Glenn; El-Beheiry, Hossam; Brown, Dale

doi:10.1007/bf03016207

Cited by 22 publications

(16 citation statements)

References 7 publications

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“…46 Immediate treatment in complete decannulation includes mask ventilation and then orotracheal intubation. [44][45][46][47] In complete decannulation in a patient with a mature stoma (>1 week old), the rate of closure of the stoma depends on how long the tube has been decannulated. If the problem is discovered quickly, the tube can usually be easily replaced.…”

Section: Subcutaneous Tissue (False Passage)mentioning

confidence: 99%

Tracheostomy Care and Complications in the Intensive Care Unit

Morris

Whitmer

McIntosh

2013

Critical Care Nurse

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Tracheotomy is a common procedure in intensive care units, and nurses must provide proper care to tracheostomy patients to prevent complications. One of the most important considerations is effective mobilization of secretions, and a suction catheter is the most important tool for that purpose. Each bedside should be equipped with a functional suctioning system, an oxygen source, a manual resuscitation bag, and a complete tracheostomy kit, which should accompany patients wherever they go in the hospital. Complications include infection, tracheomalacia, skin breakdown, and tracheoesophageal fistula. Tracheostomy emergencies include hemorrhage, tube dislodgement and loss of airway, and tube obstruction; such emergencies are managed more effectively when all necessary supplies are readily available at the bedside. This article describes how to provide proper care in the intensive care unit, strategies for preventing complications, and management of tracheostomy emergencies.

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Section: Subcutaneous Tissue (False Passage)mentioning

confidence: 99%

Tracheostomy Care and Complications in the Intensive Care Unit

Morris

Whitmer

McIntosh

2013

Critical Care Nurse

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“…We read with interest the case report by McGuire et al 1 We agree that the jet ventilation/airway exchange catheter employed during endotracheal tube exchange in patients with a difficult airway, 2 appears useful during elective tracheostomy. We describe a rapid method of re-establishing the airway in patients who suffered emergency airway loss during/after tracheostomy.…”

Section: Airway Loss During Tracheostomymentioning

confidence: 76%

“…Neonates and more so preterms have relatively more total body fluid (interstitial fluid). 1 Displacement of perivascular interstitial fluid by pressure over the peripheral artery makes the course of the artery visible, rendering cannulation under direct vision easy in pediatric patients. 2 Although the radial artery lies deep to the deep fascia, the overlying interstitial fluid can be displaced by applying pressure, making arterial palpation easy and facilitating cannulation.…”

mentioning

confidence: 99%

Reply

El‐Beheiry

McGuire

2002

Can J Anesth/J Can Anesth

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“…To the Editor: We read with interest the case report by McGuire et al 1 We agree that the jet ventilation/airway exchange catheter employed during endotracheal tube exchange in patients with a difficult airway, 2 appears useful during elective tracheostomy. We describe a rapid method of re-establishing the airway in patients who suffered emergency airway loss during/after tracheostomy.…”

Section: Airway Loss During Tracheostomymentioning

confidence: 94%

Section: Radial Artery Cannulation In Edematous Patientsmentioning

confidence: 99%