Session Key Points

  • There are key differences beteween adults and children when it comes to tracheostomies
  • Indications are predominantly due to congenital airway abnormalities, a need for long-term ventilatory support, and to help manage secretions
  • The small size of the tubes means they are usually un-cuffed and don't have inner cannulae
  • Problems are ususally due to a blocked or displaced tube
  • Emergency management focusses on rapid recognition, suctioning via the tracheostomy and an early tube change and oxygenation of the brain
  • Good, basic nursing care keeps patients safe and should involve parents and carers as well as healthcare staff