30/11/2019
Suction Machine and Trachi‐Case
• The medical and nursing staff from Crumlin get ready days in advance. They leave early in the morning and travel to the maternity hospital, and set up in the theatre.
• The CNS has to bring several neonatal and paediatric tracheostomy tubes of various sizes, including cuffed and uncuffed tubes.
• An emergency trachi‐case is also brought as this will be needed for the transfer of the baby.
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Immediately after the EXIT
• In Crumlin Childrens Hospital approx 12 new tracheostomies are performed every year. • What for ? • Upper airway obstructions, as in this case. • To facilitate ventilation on a baby who has chronic lung disease or tracheo/bronchomalacia. • Approx 10 removal of tracheostomy (decannulation) every year.
• The Neonatal team will intervene and stabilise the baby. • The ENT surgeon and CNS will usually meet the dad after the baby is born and discuss with them the outcome. • The baby is transferred in an ambulance to the intensive care in Crumlin. • The dad is met at Crumlin Hospital and brought to ICU.
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Tracheostomy tubes – specialised nursing care • Children who have tracheostomy, have single lumen tubes.
Ireland – approx 50 – 60 children with Tracheostomy • How are they different to adults with tracheostomy?
• Their trachea is small so there is no room an inner cannula.
• They can’t look after it themselves. • Its much smaller tube – more potential to block with secrections. • They can pull it out themselves or their Brother/sister can pull it out for them
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