Who needs a tracheostomy tube?

Please use this forum for any general discussions or questions you have about noninvasive ventilatory support and mechanical insufflation-exsufflation (MIE).
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curiousgeorge
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Who needs a tracheostomy tube?

Postby curiousgeorge » Mon Dec 07, 2015 1:20 am

Who needs a tracheostomy tube?

(Asked by a patient)

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bachjr
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Re: Who needs a tracheostomy tube?

Postby bachjr » Mon Dec 07, 2015 1:23 am

Tracheotomy is needed when:
-The person has irreversible upper airway obstruction (e.g. throat cancer).
-The person has ventilator dependence, but cannot cooperate with NVS because of cognitive impairment or coma.
-The person has advanced ALS or central nervous system disease which results in upper airway spasticity and an inability to keep the upper airways open enough for MIE to effectively clear airway secretions. (Saliva aspiration causes the O2 sat baseline to remain below 95% and this cannot be corrected by CNVS and/or MIE.)

No cognitively intact person with open airways and healthy lungs needs a tracheostomy tube for ventilatory support.

JB
John R. Bach MD
Medical Director, VentilaMed BreatheNVS
Medical Director, Center for Ventilator Management Alternatives
Professor of Physical Medicine and Rehabilitation, Professor of Neurology, Rutgers New Jersey Medical School


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