Tracheostomy Replacement Guide
Posted on: April 8, 2025, by : Haroon Shaukat MD
Steps to Replace:
- Place patient in a flat lying down position, perform a head tilt, chin lift.
- Remove new tracheostomy tube from box.
- INSERT Obturator into trach tube, without inner cannula.
- Guide trach tube into trach opening. If unable to insert tube, place a rolled up towel under patient’s neck.
- Remove Obturator and insert inner cannula.
- Bag patient and secure trach tube with trach tie.
** If unable to obtain a tracheostomy of appropriate size, can use 6.0 endotracheal tube cut down to 12 cm; insert no more than 1 cm past the cuff**
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