A. True.

B. True.

C. False. Almost all tracheostomies in infants and children are performed surgically, although percutaneous techniques have been described.

D. False. In keeping with adult tracheosotmies, the vast majority (about 80%) of incidents occur after insertion.

E. False. Whilst some incidents occur suddenly, emergencies are often preceeded by warning signs or 'red flags' which should prompt a thorough assessment of the child.

F. False. Maturation sutures are absorbable and will typically dissolve over the first week or so following formation of the stoma. They secure the tracheal wall to the skin and help the stoma to develop. Stay sutures are temporary non-disposable sutures that are used to elevate the trachea. They are usually removed after the first tube change.

G. False. Whilst rescue breaths are important, any responder must first shout for help and assess the patency of the tube using suction. An emergency tube change and reassessment is needed prior to attempting recue ventilation.

H. True. Suction is normally uneventful if carried out carefully but can cause complications such as bradycardia, bronchospasm, discmfort, anxiety and desaturation. Suction should be carefuly planned using the correct diameter catheter inserted to the correct depth. This information should be displayed clearly in the care plan, tracheostomy passport or bedhead sign.

Incorrect.

Retry Try the question again

Reveal Show the correct answer