Core IM | Internal Medicine Podcast

#121 Trach Care: 5 Pearls Segment

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Mar 8, 2023
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ADVICE

Trach Tube Sizing

  • Trach tubes have numbers corresponding to inner diameter size.
  • Knowing sizes helps communicate with respiratory therapists.
INSIGHT

Cuff Inflation

  • Inflating the cuff on a trach creates a seal for positive pressure ventilation.
  • Overinflation can cause tracheal necrosis and a vicious cycle of increasing cuff pressure.
ADVICE

Cuff Inflation and Aspiration

  • Inflated cuffs can prevent large aspiration events but can also increase aspiration risk.
  • Cuff inflation interferes with swallowing.
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