Saavedra-Mendoza AGM, Akaki-Caballero M

Language: Spanish
References: 12
Page: 254-261
PDF size: 356.36 Kb.

ABSTRACT

The tracheostomy decannulation is a process that begins from the moment that is possible to deflate the tracheostomy tube cuff, the replacement of the plastic tube to a metal one, until the retirement of the metal tube and the placement of an occlusive seal in the tracheostoma. This process is not easy to decide or accomplish in certain situations. Be carrier of a tracheotomy implies the interference with functions such as swallowing or the diversion of the normal airway, so achieving decannulation confers significant physiological advantages. However, not all patients are suitable for a decannulation protocol; patients should meet different requirements to proceed to the protocol. There are several decannulation protocols, but yet there is no unification of them and the choice largely depends on each institution and the individual situation of each patient; however, to achieve a successful decannulation, a number of essential criteria must be met regardless of the chosen protocol. The present work points out the characteristics that must meet the decannulation candidate and the necessary steps to achieve the removal of the tracheostomy tube, minimizing the risk of failure, understanding by this to the need for relocation of the tube. The data collection and recommendations presented are based on the best available evidence according to evidence-based medicine.

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