Feasibility of a single‐stage tracheostomy decannulation protocol with endoscopy in adult patients

@article{Cohen2016FeasibilityOA,
  title={Feasibility of a single‐stage tracheostomy decannulation protocol with endoscopy in adult patients},
  author={Oded Cohen and Sharon Tzelnick and Yonatan Lahav and Dekel Stavi and Hagit Shoffel-Havakuk and Moshe Hain and Doron Halperin and Nimrod Adi},
  journal={The Laryngoscope},
  year={2016},
  volume={126}
}
Gradual decrease in tube size and tube capping are considered the standard of care for tracheostomy decannulation. Both of these actions result in increased airway resistance. Immediate decannulation may offer a more tolerable approach. 
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19 Citations
Highly Influential Citations
2
Background Citations
5
Methods Citations
1
Results Citations
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19 Citations

Citation Type

Citation Type

Rapid Review Evidence Summary: Tracheostomy Decannulation
TLDR
The best available evidence is summarized around the effectiveness of weaning techniques for tracheostomy decannulation in adult inpatients to support a new protocol being introduced via the Clinical Practice Review Committee at the MUHC.
The practice of tracheostomy decannulation—a systematic review
TLDR
This systematic review on decannulation of tracheostomized patients from mechanical ventilation focuses attention on the presence of an intact sensorium coordinated swallowing and protective coughing.
Standardized Endoscopic Swallowing Evaluation for Tracheostomy Decannulation in Critically Ill Neurologic Patients – a prospective evaluation
TLDR
The SESETD showed to be a safe and efficient tool to evaluate readiness for decannulation in the patient collective of critically ill neurologic patients and was identified as a significant predictor of early decannulated after end of weaning.
Tracheostomy decannulation methods and procedures for assessing readiness for decannulation in adults: a systematic scoping review.
TLDR
The current body of evidence is inadequate and requires further research, particularly validation of different parameters used, and a protocol approach to decannulation may be inappropriate but rather an algorithmic approach using validated parameters.
Aerodynamic measures of patients with tracheostomy capping before and after decannulation
TLDR
The results of the study showed that tracheostomy tube capping causes a significant reduction in peak flow and aerodynamic measures which improved after tracheOSTomy decannulation.
Successful tracheostomy decannulation after complete or sensory incomplete cervical spinal cord injury
TLDR
Complete or sensory incomplete C-SCI patients, even with high neurological level can be successfully decannulated through NIV and aggressive use of mechanically assisted coughing, as well as employing the noninvasive respiratory management.
Criteria for tracheostomy decannulation: literature review.
TLDR
Speech therapists are of great help during the decannulation process, since the assessment of swallowing was one of the decisive steps of the investigated studies.
Tracheotomy in the intensive care unit: guidelines from a French expert panel
TLDR
Recommendations for the use of tracheotomy in adult critically ill patients developed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method are presented.
Evaluation protocol before, during, and after bronchoscopy-guided swallowing test for decannulation: clinical audit proposal
TLDR
This work is licensed under the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/ 3.0/).
Respiratory muscle strength and state of consciousness values measured prior to the decanulation in different levels of complexity. A longitudinal prospective case series study
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