How to remove a tracheostomy tube
Nicola Credland Specialist lecturer practitioner in adult intensive care, University of Hull, Hull, England
The decision to remove a tracheostomy tube from the trachea (decannulation) is taken when the patient achieves adequate airway control. This requires a strong cough, minimal respiratory support and an acceptable level of consciousness.
The Glasgow Coma Scale should be used to assess the patient’s level of consciousness.
The patient is suitable for tracheostomy tube removal if their peak expiratory flow rate is more than 60L/minute as measured using a peak flow meter.
Removal of the tracheostomy tube should be delayed if the patient experiences respiratory distress, desaturation or uncontrollable coughing.
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Nursing Standard. 30, 9, 34-35. doi: 10.7748/ns.30.9.34.s43Correspondence
All articles are subject to external double-blind peer review and checked for plagiarism using automated software.
Received: 27 July 2014
Accepted: 11 September 2014