Call for airway expert help
Sit patient up or in a position of comfort
Place on trach collar oxygen or place non-rebreather mask mask on trachesostmy while preparing
If any doubt about tracheosomy vs. laryngectomy, be sure to oxygenate nasal/oral airway in addition to stoma
Don faceshield, have suction, oxygen, flushes (possibly surgical airway supplies)
Remove speaking valve or cap (if present)
Remove inner cannula
If unable to pass suction catheter at this point, deflate cuff and consider removing tracheostomy tube
If any doubt about tracheosomy vs. laryngectomy, be sure to oxygenate nasal/oral airway in addition to stoma
Tracheostomy complications
Tracheostomy obstruction
Tracheostomy dislodgement
Tracheostomy infection
Tracheostomy bleeding
Chylous leak
Phrenic nerve/diaphragmatic stimulators complications
Trachobronchial injury