Tracheostomy Module Quiz

The function of the obturator of a tracheostomy tube is to:

Facilitate insertion of the tracheostomy tube into the tracheal stoma

Reduce mucous plugging of the tracheostomy tube

Anchor the tracheostomy tube in place and provide maximum airway sealing

Occlude the opening of the tracheostomy tube

Which tube is most appropriate to use in a patient requiring mechanical ventilation?

Cuffless tube with reusable inner cannula

Fenestrated cuffed tube with disposable inner cannula

Cuffed tube with reusable inner cannula

Cuffless tube with disposable inner cannula

Which patient DOES NOT have an indication for a surgical tracheotomy?

55 year old obese male with severe, refractory obstructive sleep apnea who has not tolerated CPAP trials

23 year old non-responsive male trauma patient with stab wound to right upper chest

72 year old female intubated and maintained on a respirator for 8 days with continued ventilator dependence

64 year old male smoker with obstructive upper airway mass and prominent stridor

A surgically placed tracheostomy tube is usually inserted:

Through the cricothyroid membrane

Between the 2nd and 3rd tracheal rings

Through the thyrohyoid membrane

Between the 3rd and 4th tracheal rings

On post-operative day one from tracheotomy, it is appropriate to examine the patient and check which of the following?

Chest xray

Tracheostomy ties are secure

Oxygen saturation

All of the above

In a normal adult, the tracheostomy cuff SHOULD NEVER be:

Inflated to a pressure greater than 20 cm H20 because of risk of pressure necrosis of the trachea

Inflated to a pressure greater than 20 cm H20 because of risk of airway and esophageal obstruction

Inflated to a pressure greater than 30 cm H20 because of risk of pressure necrosis of the trachea

Fully deflated because there is a risk the tube will become dislodged

Which patient is the most appropriate candidate for speaking valve trials?

60 year old female with 6-0 Shiley tracheostomy tube with the cuff deflated who is able to maintain an oxygen saturation of 98

71 year old female with tracheostomy tube placement due to multiple hospitalizations for aspiration pneumonia

55 year old male with severe COPD and frequent desaturations

63 year old male previously using speaking valve at home who is hospitalized for pneumonia with copious, thick secretions

Tracheoinominate fistula commonly presents with:

Shortness of breath

Painful neck and difficultly with range of motion

Crepitus of the neck

Bleeding from tracheostomy tube

An example of a LATE complication of tracheostomy tube placement is:

Mucus plugging

Tracheal stenosis

Hemorrhage

Infection

Which specialists may play a role in the care of a tracheostomy patient?

Dietician

Respiratory therapist

Speech language therapist

All of the above

Tracheostomy Module Quiz

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