Some equipment needs to be immediately available at the bedside of any patient with a tracheostomy. More specialist equipment can be summoned, or may need to be available in specialist areas.
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A range of Supraglottic Airway Devices (SAD's such as Laryngeal Mask Airways or LMAs), facemasks and tracheal tubes to manage both airways should be immediately available for all patients.
A self-inflating (Ambu) bag or Waters circuit (for those trained in its use) should be available to enable ventilation.
In addition, a portable endoscope and waveform capnography should be available to all patients, and immediately available for head and neck units, critical care and other specialist areas likely to have regular tracheostomy patients.
All staff involved must know where these pieces of equipment are and how to get them if not immediately to hand.