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Dislodged fresh tracheostomy — RACP Paediatrics MCQ

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HardRespiratoryDislodged fresh tracheostomyRACP Paediatrics

A fresh tracheostomy (<7 days old) has been dislodged and cannot be replaced. Stoma is closing. What should be attempted?

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Correct answer: ACover stoma and ventilate via mouth

Fresh tract (<7 days) may close rapidly. Cover stoma and attempt orotracheal ventilation/intubation. Mature tracts allow stoma ventilation.

Reference: RCH Melbourne – 2023 – Tracheostomy CPG