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Discussion

bagging in treatments

can you bag in nebulized treatments on a patient with a cuffless trach or do you have to change to a cuffed trach?

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we never change a kid to a cuffed trach for the purpose of treatments, just bag them in as usual.

we never change a kid to a cuffed trach for the purpose of treatments, just bag them in as usual.

ditto...we give them treatment with whatever they have.

  • Author

Thanks to all for responding - I had a rt tell me that bag in treatments could not be done adequately on a cuffless trach (or in this case a cuff trach that was deflated) - they also said that if this patient went into distress that they could not be bagged with an ambu bag to save their life and I disagreed saying that yes they could be bagged successfully. if for some reason, you don't think the patient is getting enough air with the cuffless trach, close the hole with a button or gauze or anything and then continue to bag - am i totally off on this, or is my thinking correct???????

  • Experts

Guess that this RT has never treated a kid that went into distress. Just chalk it up to that.

In all of my years as an RN, never had one issue with not being able to successfully a bag an infant or small child that had a cuffless trach; of course, unless they had a plugged trach and then that is another issue.

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