If only medical or health care will teach this way. No need for “ you should already know this”. How refreshing that someone so accomplished as this MD humbly enough stated “didn’t encounter this as much”. Nobody stated “to blunt the end of tracheostomy tube to avoid fistula”. Simple to the fact and effective way of remembering a rationale. First couple mins and I’m hooked. Ty!

I use this to refresh on trachs in the field as a paramedic. I've had a couple of bad trach patients and I always come back to this as a refresher

Thank you so much for this. I'm a home health nurse & I'm getting a vented trached patient who I will be watching at night while they sleep. This was super informative & I feel so much more comfortable now that I know this info.

This was great, thanks for the lecture and thank you guys for posting it!

1:18 - - (44 y/o OD’d on heroine in ER, PA arrest, prolonged resuscitation, severe anoxic brain injury) 1:10 - - 9 days s/p trach, *tachycardic,* “sick kipnuk”(?), severe respiratory distress, hypertensive 1:35 - - 110,000 tracheostomies performed annually in the US 1:43 - - 40-50% of trached patients will have a complication (most in ICU), most minor req minimal intervention 1:54 - - (1% of trached patients suffer a catastrophic airway complication) 1:59 - - *HALF of airway deaths in ER or ICU are due to DISLODGMENT or DECANNULATION*

Great review. I would add one note of caution against silo thinking by focusing exclusively on the tracheostomy in a hypoxemic patient. What if you run this brief algorithm but the patient does not improve? One other consideration in these patients is they are particularly susceptible to mucus plugs which can suddenly obstruct an entire bronchus. The airway will be clear but the patient's dropped a lung- acts like a PE but there will be absent breath sounds and a CXR will be whited out on that side. Identifying may be easier than fixing; you can try deep suction, mucomyst nebs, chest percussion, anything to knock the plug loose. Disclaimer- do not listen to me 🤘.

Great video, very helpful, thank you!! Question please: wouldn’t it make more sense to deflate cuff and reposition existing inner cannula as step 2, BEFORE removing the inner cannula and suctioning?

Thank you because I am caring for my fiance, and I want to familiarize myself he has had mucus plugs..so I want to make sure he doesn't aspirate.. TY

Great lecture, thank you

awesome lecture

ON POINT GIRL

In order to bag mask or to connect to a ventilator, inner cannula is an absolute necessity is it? With that we can’t do either of them? 3:30

my brain hurts. great video

Thank you for this video. Can you please explain how a ruptured cuff wouldn't be signalled by the pilot balloon? Shouldn't that be something that stands out to the clinician? Just asking.

Good good.

Sister my brother now admit in ksa hospital doctor say can suggested with family i will fix the neck tube or u suggested me if no danger this then I will give the operation order please?

Would appreciate if also with sampling of ET secretion

my trach keeps draining how do i fix it?

she provides great information but speaks too fast

Great

Something got stuck? What do I do? I think it's broken

the information is great but she speaks too fast

Does Dr. Emily Damuth have instagram?

we are manufacturer of closed suction catheter in China, CE approved.