Laryngectomy Airway: Emergency Tracheostomy Airway Management
Laryngectomy Airway: Emergency Tracheostomy Airway Management
Laryngectomy Airway: Emergency Tracheostomy Airway Management
Patient
Breathing?
YES NO Commence
Can you pass a suction BLS
catheter?
YES NO
Trache:
• Continue ABCDEF assessment Do you have a patent airway?
• Consider tracheostomy tube change
• Continue assessment of airway
adequacy • Consider removal of tracheostomy
• Re-establish oxygenation & • Prepare for potential endotracheal
ventilation intubation /laryngeal mask insertion
• Prepare for tracheostomy
change if insitu No trache:
Continued deterioration • Prepare for potential endotracheal
intubation /laryngeal mask insertion
• Ventilate stoma using a paediatric facemask • Insert smaller sized tracheostomy tube / 6.0 cuffed ETT
applied over stoma or LMA applied over stoma • Consider Aintree catheter and fibreoptic scope/
Bougie/ Airway Exchange catheter