This case illustrates the importance of removing nonresorbable stay sutures at the time of decannulation
Revised respiratory data-collection efforts to more accurately measure wean rates and unplanned tracheostomy tube decannulations
, and respond to any trends or concerns.
was achieved within 14 days of her transfer from intensive care.
In addition, data on patient age, sex, Injury Severity Score (ISS), Glasgow Coma Scale (GCS) score, mechanism of injury, indication for cricothyroidotomy, days until decannulation
or conversion to tracheostomy, complications, length of stay, and disposition were collected for each patient in the series.
Over the next 2 years, the patient followed an aggressive weight loss plan with close pulmonary follow-up in order to work toward decannulation
The patient developed respiratory distress and stridor which was worse lying supine, six hours after decannulation
of the trachea occurred at day 31, with discharge from ICU on day 32.
The RU is for the liberation of patients from mechanical ventilation using multidisciplinary guidelines for weaning, downsizing of trach tubes for speech and oral feeding, and trach tube decannulation
Granulation formation can also delay decannulation
Case 3 had a tracheostomy, which was inserted on the first day of life and MD was performed to allow for earlier tracheostomy decannulation
Although it subsided significantly over a 2-week period, there was still sufficient tissue present to impede decannulation
Following the release of the aortic cross clamp, the patient was weaned successfully from bypass with decannulation
and purse-string suture repair of the individual cavae.