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!

@CriticalCareNow

7 ай бұрын

Thanks for watching!

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

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.

@CriticalCareNow

2 жыл бұрын

thanks

This was great, thanks for the lecture and thank you guys for posting it!

@CriticalCareNow

3 жыл бұрын

Thank you!

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*

Great lecture, thank you

@CriticalCareNow

4 жыл бұрын

Thanks for dropping a comment.

awesome lecture

@CriticalCareNow

4 жыл бұрын

Thanks for that!

ON POINT GIRL

@CriticalCareNow

Жыл бұрын

Thanks

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 🤘.

@CriticalCareNow

3 жыл бұрын

Thanks for your comment and I won’t listen to you

Great

@CriticalCareNow

3 жыл бұрын

Thanks

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?

@CriticalCareNow

8 ай бұрын

Inner cannula removal can restore airflow faster than repositioning

Would appreciate if also with sampling of ET secretion

@CriticalCareNow

3 жыл бұрын

Applet your comments

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

@CriticalCareNow

3 жыл бұрын

You’re welcome. Good luck

Good good.

@CriticalCareNow

9 ай бұрын

She’s the best!

my brain hurts. great video

@CriticalCareNow

2 жыл бұрын

Thanks

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

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.

@CriticalCareNow

3 жыл бұрын

Thanks for your comment. Sometimes a partial rupture results in a slow leak and pilot looks okay.

@nena200able

3 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).

my trach keeps draining how do i fix it?

@CriticalCareNow

3 жыл бұрын

Please see your doctor immediately

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 🤲🤲

Something got stuck? What do I do? I think it's broken

@CriticalCareNow

2 жыл бұрын

go to the ER now

@thisperson6655

Жыл бұрын

@@CriticalCareNow that was scary but still alive

we are manufacturer of closed suction catheter in China, CE approved.

@CriticalCareNow

2 жыл бұрын

congratulations

she provides great information but speaks too fast

@CriticalCareNow

3 жыл бұрын

Thanks

Does Dr. Emily Damuth have instagram?

@CriticalCareNow

2 жыл бұрын

I don’t think so but she’s on Twitter

the information is great but she speaks too fast

@CriticalCareNow

3 жыл бұрын

Thanks