A 55-year-old woman with a percutaneous tracheostomy placed 5 days ago in ICU becomes acutely strangulated and desaturates to SpO2 70%. The tracheosto...

Question

A 55-year-old woman with a percutaneous tracheostomy placed 5 days ago in ICU becomes acutely strangulated and desaturates to SpO2 70%. The tracheostomy tube appears displaced. The bedside nurse has called for help. Following the NCEPOD/ICS emergency tracheostomy algorithm, what is the first step?

Accepted Answer

Attempt to pass a suction catheter through the tracheostomy tube to confirm patency

Answer

Remove the tracheostomy tube and intubate from above via the oral route

Answer

Replace the tracheostomy tube with a fresh one over a bougie

Answer

Apply oxygen via the face and tracheostomy stoma simultaneously

Answer

Perform fibreoptic bronchoscopy through the tracheostomy tube

uk-fficm MCQ (SBA): Tracheostomy Emergency

A 55-year-old woman with a percutaneous tracheostomy placed 5 days ago in ICU becomes acutely strangulated and desaturates to SpO2 70%. The tracheostomy tube appears displaced. The bedside nurse has called for help. Following the NCEPOD/ICS emergency tracheostomy algorithm, what is the first step?