PE22-Tracheostomy Troubleshooting Quiz

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Which statements are true in regards to the indications for tracheostomy insertion:

Upper airway obstruction may be an indication for tracheostomy insertion

Management of bronchopulmonary secretions may be an indication for tracheostomy insertion

Need for long term ventilation may be an indication for tracheostomy insertion

Most paediatric tracheostomies are performed in the emergency setting due to acute upper airway obstruction

Select all that apply

Which statements are true in regards to the insertion of a tracheostomy

An incision is made in the anterior tracheal wall over the level of the 4th or 5th tracheal cartilage

In paediatrics, a tracheostomy is normally inserted using an open surgical procedure

Stay sutures are long sutures which help to ensure stoma patency in the event of an early and unexpected dislodgement or tracheostomy change

Following insertion the first tracheostomy change should be performed within 48 hours

Select all that apply

Which statements are true in regards to tracheostomies

Simple safety measures such a bed-head signs and tracheostomy cases can improve outcomes in the event of complications arising

Shiley tracheostomy tubes are reusable up to five times

Tracoe Twist tubes contain an inner tube and are our preferred choice in younger children with tracheostomies

Heat moisture exchangers attempt to humidify air and negate the effects of bypassing the natural humidification process which occurs in the nasopharynx

Select all that apply

Which statements are true in relation to complications associated with tracheostomies

Complications can be divided into peri-opertaive, early post-operative and late post-operative complications

Late post-operative complications can be defined as those occurring after 5 days post operatively

Bleeding and granulation are relatively common complications

A blocked or dislodged tube is an airway emergency

Select all that apply

Which statements are true in the management of an acutely unwell child with a tracheostomy in the emergency setting

The first step is to call for help and instigate simple airway opening manoeuvres

Oxygen should be applied over both the nose/mouth and tracheostomy

Attempted bagging is the preferred option for assessing the patency of a tracheostomy tube

When changing a tracheostomy in the emergency setting the initial option is to try and replace it with a tracheostomy which is a half size smaller than the original tube

Select all that apply

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