TRACHEOSTOMY EMERGENCIES // Dr. Emily Damuth from Cooper presents tracheostomy emergencies at the ResusX conference. Listen to this 15 minute lecture and learn the skills you need to manage trach emergenceis.
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@JR-nz2cm6 ай бұрын
If only medical or health care will teach this way. No need for “ you should already know this”. How refreshing that someone so accomplished as this MD humbly enough stated “didn’t encounter this as much”. Nobody stated “to blunt the end of tracheostomy tube to avoid fistula”. Simple to the fact and effective way of remembering a rationale. First couple mins and I’m hooked. Ty!
@CriticalCareNow6 ай бұрын
Thanks for watching!
@NOLA_playmaker2 жыл бұрын
I use this to refresh on trachs in the field as a paramedic. I've had a couple of bad trach patients and I always come back to this as a refresher
@CriticalCareNow Жыл бұрын
Awesome. Thanks
@kaygee95162 жыл бұрын
Thank you so much for this. I'm a home health nurse & I'm getting a vented trached patient who I will be watching at night while they sleep. This was super informative & I feel so much more comfortable now that I know this info.
@CriticalCareNow2 жыл бұрын
thanks
@sonulgulati993 жыл бұрын
This was great, thanks for the lecture and thank you guys for posting it!
@CriticalCareNow3 жыл бұрын
Thank you!
@_BreakdownАй бұрын
1:18 - - (44 y/o OD’d on heroine in ER, PA arrest, prolonged resuscitation, severe anoxic brain injury) 1:10 - - 9 days s/p trach, *tachycardic,* “sick kipnuk”(?), severe respiratory distress, hypertensive 1:35 - - 110,000 tracheostomies performed annually in the US 1:43 - - 40-50% of trached patients will have a complication (most in ICU), most minor req minimal intervention 1:54 - - (1% of trached patients suffer a catastrophic airway complication) 1:59 - - *HALF of airway deaths in ER or ICU are due to DISLODGMENT or DECANNULATION*
@russellnewmexico14 жыл бұрын
Great lecture, thank you
@CriticalCareNow4 жыл бұрын
Thanks for dropping a comment.
@gregwhitcher43124 жыл бұрын
awesome lecture
@CriticalCareNow4 жыл бұрын
Thanks for that!
@puckrod3 жыл бұрын
Great review. I would add one note of caution against silo thinking by focusing exclusively on the tracheostomy in a hypoxemic patient. What if you run this brief algorithm but the patient does not improve? One other consideration in these patients is they are particularly susceptible to mucus plugs which can suddenly obstruct an entire bronchus. The airway will be clear but the patient's dropped a lung- acts like a PE but there will be absent breath sounds and a CXR will be whited out on that side. Identifying may be easier than fixing; you can try deep suction, mucomyst nebs, chest percussion, anything to knock the plug loose. Disclaimer- do not listen to me 🤘.
@CriticalCareNow3 жыл бұрын
Thanks for your comment and I won’t listen to you
@kiesasmith25442 жыл бұрын
ON POINT GIRL
@CriticalCareNow Жыл бұрын
Thanks
@thomasshirley35343 жыл бұрын
Would appreciate if also with sampling of ET secretion
@CriticalCareNow3 жыл бұрын
Applet your comments
@padoomama8 ай бұрын
Great video, very helpful, thank you!! Question please: wouldn’t it make more sense to deflate cuff and reposition existing inner cannula as step 2, BEFORE removing the inner cannula and suctioning?
@CriticalCareNow7 ай бұрын
Inner cannula removal can restore airflow faster than repositioning
@thomasshirley35343 жыл бұрын
Great
@CriticalCareNow3 жыл бұрын
Thanks
@vegvixxxen8293 жыл бұрын
Thank you because I am caring for my fiance, and I want to familiarize myself he has had mucus plugs..so I want to make sure he doesn't aspirate.. TY
@CriticalCareNow3 жыл бұрын
You’re welcome. Good luck
@snj6927 Жыл бұрын
In order to bag mask or to connect to a ventilator, inner cannula is an absolute necessity is it? With that we can’t do either of them? 3:30
@CriticalCareNow Жыл бұрын
No, just need a teach with a balloon
@MeganMichelleTimeLapses2 жыл бұрын
my brain hurts. great video
@CriticalCareNow2 жыл бұрын
Thanks
@geezeweezebabypls9 ай бұрын
Good good.
@CriticalCareNow8 ай бұрын
She’s the best!
@julianfattori56223 жыл бұрын
my trach keeps draining how do i fix it?
@CriticalCareNow3 жыл бұрын
Please see your doctor immediately
@nena200able3 жыл бұрын
Thank you for this video. Can you please explain how a ruptured cuff wouldn't be signalled by the pilot balloon? Shouldn't that be something that stands out to the clinician? Just asking.
@CriticalCareNow3 жыл бұрын
Thanks for your comment. Sometimes a partial rupture results in a slow leak and pilot looks okay.
@nena200able3 жыл бұрын
@@CriticalCareNow thanks!
@joestevenson5568 Жыл бұрын
@@CriticalCareNow A leak slow enough to leave the balloon inflated shouldn't cause this type of decompensation and need for urgent tube exchange though. Just reinflate the cuff and they'll be fixed (temporarily).
@thisperson66552 жыл бұрын
Something got stuck? What do I do? I think it's broken
@CriticalCareNow2 жыл бұрын
go to the ER now
@thisperson6655 Жыл бұрын
@@CriticalCareNow that was scary but still alive
@HayatKhan-mp8oc Жыл бұрын
Sister my brother now admit in ksa hospital doctor say can suggested with family i will fix the neck tube or u suggested me if no danger this then I will give the operation order please?
@CriticalCareNow Жыл бұрын
Sorry to hear. Good luck
@HayatKhan-mp8oc Жыл бұрын
@@CriticalCareNow this tube fix to temporarily or the long time ?
@CriticalCareNow Жыл бұрын
@@HayatKhan-mp8oc it can be either.
@HayatKhan-mp8oc Жыл бұрын
@@CriticalCareNow I'm very sad just praying for my brother tomorrow input 🤲🤲
@comssen2 жыл бұрын
we are manufacturer of closed suction catheter in China, CE approved.
@CriticalCareNow2 жыл бұрын
congratulations
@ghxsty-0-603 жыл бұрын
she provides great information but speaks too fast