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Review
. 2017 Jun 20:5:38.
doi: 10.1186/s40560-017-0234-z. eCollection 2017.

The practice of tracheostomy decannulation-a systematic review

Ratender Kumar Singh  1 , Sai Saran  1 , Arvind K Baronia  1
Affiliations
Review

The practice of tracheostomy decannulation-a systematic review

Ratender Kumar Singh et al. J Intensive Care. .

Abstract

Decannulation is an essential step towards liberating tracheostomized patients from mechanical ventilation. However, despite its perceived importance, there is no universally accepted protocol for this vital transition. Presence of an intact sensorium coordinated swallowing and protective coughing are often the minimum requirements for a successful decannulation. Objective criteria for each of these may help better the clinical judgement of decannulation. In this systematic review on decannulation, we focus attention to this important aspect of tracheostomy care.

Keywords: Decannulation; Tracheostomy; Weaning.

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Figures

Fig. 1
Fig. 1
Flow diagram of selection of studies
Fig. 2
Fig. 2
Decannulation algorithm
See this image and copyright information in PMC

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