Removal of a tube (decannulation) is usually an elective procedure, but in the emergency situation, where you have established a tube is blocked or displaced, you must remove the tube as quickly as possible.

The tube may have been sutured in place. Stitch cutters should be available at the bedside and this information recorded on the bedhead sign.

The tapes securing the tube are cut and the sutures are removed. The tube is removed and the stoma is covered with a dressing.

After the tube has been removed, you re-assess that patient’s airways. You may have relieved tracheal obstruction, and re-established ventilation via the stoma, or via the upper airways.

Ensure oxygen is re-applied to the face and the stoma.

Click on the play button to watch a video demonstrating decannulation.