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#274 Critical Decision Points in Emergency Tracheostomy Management

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Manage episode 509384536 series 3347443
Content provided by Anesthesia Patient Safety Foundation. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Anesthesia Patient Safety Foundation or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

Tracheostomy complications occur at an alarming rate, affecting nearly half of all patients during their initial hospitalization. When these emergencies strike, having a systematic approach can make the difference between life and death.
We dive deep into the critical steps for managing a malfunctioning tracheostomy, beginning with immediate actions like cuff deflation and rapid information gathering about the tracheostomy's history. You'll learn how to systematically troubleshoot ventilation problems, from checking for simple obstructions to determining if the tracheostomy has become dangerously displaced into subcutaneous tissues.
The episode walks through the crucial decision points when standard ventilation fails: Should you attempt oral intubation or go through the stoma? We break down the specific factors that should guide this high-stakes decision, including patient anatomy, tracheostomy maturity, and clinician experience. You'll discover practical techniques for both approaches, including helpful adjuncts like bougies and bronchoscopes that can increase your chances of success.
Perhaps most valuable are the ready-to-use tools shared in this episode - standardized bedside signs and emergency algorithms that can be implemented in your practice immediately. These resources ensure that critical information follows patients throughout their hospital stay and provides a clear pathway for any provider responding to a tracheostomy emergency.
Whether you're an experienced anesthesia professional or still in training, this episode provides essential knowledge for some of the most challenging airway emergencies you'll face. Subscribe now and download our next episode, where we'll continue this vital discussion on emergency tracheostomy management.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/274-critical-decision-points-in-emergency-tracheostomy-management/

© 2025, The Anesthesia Patient Safety Foundation

  continue reading

Chapters

1. Podcast Introduction and Stolting Conference (00:00:00)

2. Featured Article: Emergency Tracheostomy Management (00:02:17)

3. Troubleshooting a Malfunctioning Tracheostomy (00:04:45)

4. Oral vs. Stoma Intubation Decision Points (00:08:25)

5. Tracheostomy Bedside Signs and Algorithms (00:11:49)

6. Emergency Management Protocol and Closing (00:15:13)

274 episodes

Artwork
iconShare
 
Manage episode 509384536 series 3347443
Content provided by Anesthesia Patient Safety Foundation. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Anesthesia Patient Safety Foundation or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

Tracheostomy complications occur at an alarming rate, affecting nearly half of all patients during their initial hospitalization. When these emergencies strike, having a systematic approach can make the difference between life and death.
We dive deep into the critical steps for managing a malfunctioning tracheostomy, beginning with immediate actions like cuff deflation and rapid information gathering about the tracheostomy's history. You'll learn how to systematically troubleshoot ventilation problems, from checking for simple obstructions to determining if the tracheostomy has become dangerously displaced into subcutaneous tissues.
The episode walks through the crucial decision points when standard ventilation fails: Should you attempt oral intubation or go through the stoma? We break down the specific factors that should guide this high-stakes decision, including patient anatomy, tracheostomy maturity, and clinician experience. You'll discover practical techniques for both approaches, including helpful adjuncts like bougies and bronchoscopes that can increase your chances of success.
Perhaps most valuable are the ready-to-use tools shared in this episode - standardized bedside signs and emergency algorithms that can be implemented in your practice immediately. These resources ensure that critical information follows patients throughout their hospital stay and provides a clear pathway for any provider responding to a tracheostomy emergency.
Whether you're an experienced anesthesia professional or still in training, this episode provides essential knowledge for some of the most challenging airway emergencies you'll face. Subscribe now and download our next episode, where we'll continue this vital discussion on emergency tracheostomy management.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/274-critical-decision-points-in-emergency-tracheostomy-management/

© 2025, The Anesthesia Patient Safety Foundation

  continue reading

Chapters

1. Podcast Introduction and Stolting Conference (00:00:00)

2. Featured Article: Emergency Tracheostomy Management (00:02:17)

3. Troubleshooting a Malfunctioning Tracheostomy (00:04:45)

4. Oral vs. Stoma Intubation Decision Points (00:08:25)

5. Tracheostomy Bedside Signs and Algorithms (00:11:49)

6. Emergency Management Protocol and Closing (00:15:13)

274 episodes

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