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vssimpson

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  1. Fresh tracheostomies

    vssimpson replied to vssimpson's topic in PICU, Pediatric
    New tracheostomies are sutured in place AND held with trach ties. Weight of ventilator tubing has come up as one reason for the recent decannulations as well as the fact that the patients are no longer routinely paralyzed for 7 days as they were in the past.

  2. Fresh tracheostomies

    vssimpson posted a topic in PICU, Pediatric
    We have had a rash of decannulations of fresh post operative tracheostomy patients in our PICU recently. I am wondering what protocols or policies are in place at other institutions regarding care of these patients. For example, are all fresh trachs paralyzed, vent circuits set up in certain ways, etc. We do not have an official protocol in place at this point, but would like to develop one. Please help!

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