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  • Title: Tracheostomy decannulation.
    Author: Christopher KL.
    Journal: Respir Care; 2005 Apr; 50(4):538-41. PubMed ID: 15807918.
    Abstract:
    The respiratory therapist plays an integral role in tracheostomy tube decannulation. Removal of the tracheostomy tube should be considered only if the original upper-airway obstruction is resolved, if airway secretions are controlled, and if mechanical ventilation is no longer needed. Predictors of success include ability to produce a vigorous cough and the absence of aspiration. Tracheostomy decannulation requires caution, particularly following a prolonged period of tracheostomy use. The tracheostomy tube decannulation process is well suited for therapist-implemented protocols.
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