| In order to reinsert the tracheostomy tube, follow the procedure outlined below: 1. Insert the obturator and put a water-soluble lubricant on the outer cannula. i) Remember a smaller sized tracheal tube may be utilized as trauma may have caused swelling of the tract 2. Insert the tracheostomy tube while using an upward curved motion, and while applying gentle pressure, the tube will slide into place. 3. With the tube in place, remove the obturator immediately. 4. Inflate the tracheostomy cuff. 5. Attempt ventilation and look for signs of proper / improper placement. i) Visible chest rise ii) Capnography wave form 6. Apply the trach tube holder to stabilize the tracheostomy tube. 7. Insert the inner cannula. 8. Begin providing assisted ventilations and a continuous assessment of the patient noting patient condition. (1) Despite the outcome of the tracheostomy change, the patient should be transported to the hospital for further evaluation and x-ray confirmation of proper placement. | | | | |
