Trache care

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Reducing Adverse Outcomes
Airway access using a tracheostomy
The All Wales TRACHES Checklist
Anatomy of the upper airway
Reasons for a tracheostomy
Difference between a Tracheostomy and Laryngectomy
Components of a tracheostomy tube
Tapes and Dressings
Red flags
Assessment of the Inner Tube
Cuff pressure
Humidification and Oxygen therapy
Maximising a patient’s communication
Suction
Emergency Management
Cuff deflation and speaking valves
Above cuff vocalisation (ACV)
Swallowing problems
Routine weaning from a tracheostomy
The Clinical Assessment
Confirming a diagnosis of COPD
Confirm hypercapnic respiratory failure