Emergency paediatric tracheostomy management

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Objectives

Algorithm & supporting documentation for the management of paediatric patients with new or established tracheostomies. 

Emergency Paediatric Tracheostomy Management - basic/advanced algorithm
Tracheostomy essential checklist

Hospital inpatient only (not for home use)

  • Spare tracheostomy tube (check size/length/type is correct, with ties, in a clean sealable bag)
  • Downsize tracheostomy tube (check size/length/type is correct, with ties, in a clean sealable bag)
  • Scissors
  • Lubricating gel
  • Suction unit and tubing – wall & portable (ensure clean, working and keep portable suction charging while in ward)
  • Suction catheters (appropriate size)
  • Occlusive tape
  • Face Mask (appropriate size)
  • Oxygen
  • Luer lock syringe, 5ml (if cuffed tube insitu)
  • Bag/mask/ventilation device
  • Round soft face mask, Rendall Baker
    (if no patent upper airway)
Tracheostomy bedhead notice
Tracheostomy record of care
Editorial Information

Last reviewed: 01 July 2019

Next review: 31 July 2020

Author(s): RHC Glasgow, based on the NTSP (Paediatric Working Group)