Decanulation. Three Steps to Success
https://doi.org/10.36107/hfb.2019.i2.s165
Abstract
The article is devoted to decannulation, which is necessary after the tracheostomy. Decannulation is a final surgical procedure. This is the process of the final removal of the tracheostomy tube, after which the patient comes to recovery and restoration to health and strength. Despite the importance of decannulation, there is still no single universal standard and protocol for conducting this procedure, the available literature consists of expert opinions and surveys. Years of experience in hospital (Moscow Regional Research and Clinical Institute named after M.F. Vladimirsky) from 2000 to 2017 allowed us to develop a protocol for the patients, who were conscious and self-breathing, to conduct decannulation. The protocol consists of 3 steps for assessing the patient's condition: 1) assessment the effectiveness of the cough reflex; 2) evaluation of the effectiveness of swallowing; 3) assessment of the effectiveness of the state of the respiratory function. The procedure of decannulation was successfully performed in 256 patients aged 18-78 (144 men and 112 women. An easy-to-use protocol for the preparation of adult patients who are conscious and independent of breathing is proposed for decanulation. After the procedure of decanulation, the patient should be under the supervision of medical staff for the first few days. After stoma closure, it is recommended to monitor patients for 3 months.
About the Authors
A. V. Inkina
SBHI of MA MRRCI n.a. M.F. Vladimirskiy
Russian Federation
Russian Federation
Anna V. Inkina
61/2, Shepkina street, Moscow, 129110
A. N. Nasedkin
Moscow State University of Food Production
Russian Federation
Russian Federation
Aleksey N. Nasedkin
11 Volokolamskoe highway, Moscow, 125080
N. S. Garchev
Moscow State University of Food Production
Russian Federation
Russian Federation
Nikolay S. Garchev
11 Volokolamskoe highway, Moscow, 125080
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Review
For citations:
Inkina A.V., Nasedkin A.N., Garchev N.S. Decanulation. Three Steps to Success. Health, Food & Biotechnology. 2019;1(2):11-16. (In Russ.) https://doi.org/10.36107/hfb.2019.i2.s165
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