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The following statements describe different patients who are recovering from conditions which required insertion of a tracheostomy.
Using the information provided, select which of the following situations are suitable for considering a trial of decannulation.
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A. Correct. Assuming upper airway patency, the lack of swallowing alone is not a reason to delay decannulation, but requires monitoring and naso-gastric feeding until oral intake is safe. Swallowing may be better without the tracheostomy.
B. Incorrect. The low GCS means that the upper airway will not be protected from aspiration. This is always a balance of risks, but a long term cuffed tube is likely to be required.
C. Correct. The leak of air implies a patent upper airway. Formal assessment with endoscopy may be required to confirm.
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