Nurses General Nursing
Published Oct 12, 2008
sjc02
2 Posts
can you bag in nebulized treatments on a patient with a cuffless trach or do you have to change to a cuffed trach?
kessadawn, BSN, RN
300 Posts
we never change a kid to a cuffed trach for the purpose of treatments, just bag them in as usual.
texas2007, BSN, RN
281 Posts
ditto...we give them treatment with whatever they have.
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???????
suzanne4, RN
26,410 Posts
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.