What conditions should be met before considering decannulation?
I. Original indication for tracheostomy has resolved.
II. Tolerance of a Passey-Muir valve most of the day.
III. No need for suctioning.
IV. Absence of fever.

Question

Quizplus · Accepted Answer

A patient may be considered for decannulation or removal of the tracheostomy when the following conditions have been met: The original indication for the tracheostomy tube has resolved or been corrected. The patient should be either tolerating a cap during most or all of their waking hours or tolerating a Passey-Muir valve most of the day. The patient should not require removal of either for suctioning or respiratory complaints. If these conditions have not been met, the patient should at a minimum tolerate downsizing of their tracheostomy tube.

What Conditions Should Be Met Before Considering Decannulation