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A novel method for replacement of the dislodged tracheostomy tube: The nasogastric tube “guidewire” technique

1996; Elsevier BV; Volume: 14; Issue: 2 Linguagem: Inglês

10.1016/0736-4679(95)02092-6

2352-5029

Jeffrey S. Young, William J. Brady, Bradley W. Kesser, Daniel Mullins,

Dysphagia Assessment and Management

Unscheduled replacement of dislodged tracheostomy tubes can be a challenging procedure for the physician and a frightening event for the patient. Forceful attempts at replacement are both painful and dangerous; such attempts may disrupt the soft tissues adjacent to the tracheostomy tract, creating a false passage and potentiating acute respiratory failure. We describe a technique using a standard nasogastric tube that allows safe and precise replacement of tracheostomy tubes in both sedated and combative patients under routine and emergent conditions.