Tracheostomy inner cannula care: A randomized crossover study of two decontamination procedures

Björling, Gunilla; Belin, Anna-Lisa; Hellström, Carina; Schedin, Ulla; Ransjö, Ulrika; Ålenius, Martin; Johansson, Unn‐Britt

doi:10.1016/j.ajic.2006.11.006

Cited by 17 publications

(20 citation statements)

References 27 publications

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“…Inner cannulae contribute to reduced incidence of tracheostomy tube blockage as part of a package of care , but will most likely only be present in tracheostomies of older children owing to the resulting reduced internal diameter. If present, the inner cannula should be removed.…”

Section: Resultsmentioning

confidence: 99%

Multidisciplinary guidelines for the management of paediatric tracheostomy emergencies

et al. 2018

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Summary Temporary and permanent tracheostomies are required in children to manage actual or anticipated long‐term ventilatory support, to aid secretion management or to manage fixed upper airway obstruction. Tracheostomies may be required from the first few moments of life, with the majority performed in children < 4 years of age. Although similarities with adult tracheostomies are apparent, there are key differences when managing the routine and emergency care of children with tracheostomies. The National Tracheostomy Safety Project identified the need for structured guidelines to aid multidisciplinary clinical decision making during paediatric tracheostomy emergencies. These guidelines describe the development of a bespoke emergency management algorithm and supporting resources. Our aim is to reduce the frequency, nature and severity of paediatric tracheostomy emergencies through preparation and education of staff, parents, carers and patients.

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Section: Resultsmentioning

confidence: 99%

Multidisciplinary guidelines for the management of paediatric tracheostomy emergencies

et al. 2018

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“…The large cracks and pores, identified as a result of severe degradation, have proven to host colonies of bacteria. Conveniently, this could explain why a correlation exists between the frequency of pneumonia and the reuse of tracheostomy tubes, as found by Bahng et al29 In a randomized study of decontamination procedures for tracheostomy inner cannulae, it was noted that the precleaning bacterial colony counts for tracheostomy tubes made of PU were greater than for tubes made of other materials 15. This could be explained by the severe material degradation that the PU tubes already exhibit after 30 days of clinical use,1 where bacteria colonies easily can develop.…”

Section: Discussionmentioning

confidence: 88%

“…During the following 3 months the patients visited the NRC on three occasions. The first two visits were monthly routine visits, including tube cleaning and inspection according to standardized procedures,15 and reinsertion of the tube. During the third visit, the tube was exchanged for a new tube, which was inserted into the trachea and remained there in use for 6 months.…”

Section: Methodsmentioning

confidence: 99%

“…During the third visit, the tube was exchanged for a new tube, which was inserted into the trachea and remained there in use for 6 months. Following the insertion of a new tube, the patients attended five monthly routine visits, including tube cleaning and inspection according to standardized procedures,15 and reinsertion of the tube. During the sixth visit the tube was again exchanged for a new one.…”

Section: Methodsmentioning

confidence: 99%

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Material wear of polymeric tracheostomy tubes: A six‐month study

et al. 2009

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“…Inner tubes are increasingly used with tracheostomies and can significantly reduce the risk of tube occlusion with secretions, provided they are cared for and used appropriately [31,65]. If a tracheostomy tube becomes blocked, simply removing the inner tube may resolve the obstruction.…”

Section: Assessment Of Tracheostomy Patencymentioning

confidence: 99%

Multidisciplinary guidelines for the management of tracheostomy and laryngectomy airway emergencies

et al. 2012

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SummaryAdult tracheostomy and laryngectomy airway emergencies are uncommon, but do lead to significant morbidity and mortality. The National Tracheostomy Safety Project incorporates key stakeholder groups with multi‐disciplinary expertise in airway management. , the Intensive Care Society, the Royal College of Anaesthetists, ENT UK, the British Association of Oral and Maxillofacial Surgeons, the College of Emergency Medicine, the Resuscitation Council (UK) the Royal College of Nursing, the Royal College of Speech and Language Therapists, the Association of Chartered Physiotherapists in Respiratory Care and the National Patient Safety Agency. Resources and emergency algorithms were developed by consensus, taking into account existing guidelines, evidence and experiences. The stakeholder groups reviewed draft emergency algorithms and feedback was also received from open peer review. The final algorithms describe a universal approach to managing such emergencies and are designed to be followed by first responders. The project aims to improve the management of tracheostomy and laryngectomy critical incidents.

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Tracheostomy inner cannula care: A randomized crossover study of two decontamination procedures

Cited by 17 publications

References 27 publications

Multidisciplinary guidelines for the management of paediatric tracheostomy emergencies

Multidisciplinary guidelines for the management of paediatric tracheostomy emergencies

Material wear of polymeric tracheostomy tubes: A six‐month study

Multidisciplinary guidelines for the management of tracheostomy and laryngectomy airway emergencies

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