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Tracheostomies are artificial airways and as such are at risk of partial or complete displacement. Which of the following situations may make displacement more likely?
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Critical incident studies show a clear association with displacement and obese or agitated patients. Anything connected to the tracheostomy tube adds weight to it and may contribute to displacement. Patient movement for any procedure is also a risk and one carer should be allocated to support the artificial airway device.
Infants with velcro ties have a specific risk of tube displacement as the velcro has been reported to adhere to cot bedding. Cloth ties are used in this group.
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