Abstract
Extensive resections for advanced malignancies of the oral cavity quite often require patients to have a tracheostomy tube and nasogastric tube for prolonged periods leading to dependence. Timely and safe removal of these tubes would help hasten the recovery and rehabilitation of these patients. A simple bedside protocol for evaluation and weaning of nasogastric tube and tracheostomy tube is outlined in this communication. This would help health care workers in resource-poor settings make safe clinical decisions and improve care.
References
Flint PW, Haughey BH, Lund VJ, Niparko JK, Robbins KT, Thomas JR, Lesperance MM (2015) Cummings otolaryngology head & neck surgery, 6th edn. Saunders Elsevier, New York
Gleeson M, Browning GG, Burton MJ, Clarke R, Hibbert J, Jones NS, Lund VJ, Luxon LM, Watkinson JC (2008) Scott-Brown’s otorhinolaryngology, head and neck surgery, 7th edn. Hodder Arnold, London
Singh RK, Saran S, Baronia AK (2017) The practice of tracheostomy decannulation—a systematic review. J Intensive Care 5:38
Pandian V, Miller CR, Schiavi AJ, Yarmus L, Contractor A, Haut ER, Feller-Kopman DJ, Mirski MA, Morad AH, Carey JP, Hillel AT, Maragos CS, Bhatti NI (2014) Utilization of a standardized tracheostomy capping and decannulation protocol to improve patient safety. Laryngoscope 124(8):1794
Acknowledgement
The authors express their sincere gratitude to Dr. Ravindra P Deo, Professor, Head and Neck Surgery, Sri Devaraj Urs Medical College, Tamaka, Kolar. He is a constant source of inspiration, encouragement and support in the department.
Funding
None.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
All authors declare that they have no conflict of interest.
Ethics approval
The institutional ethics committee clearance was obtained.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Kenkere, D., Karunasagar, A. Clinical Approach to Decision-Making in Nasogastric Tube Weaning and Tracheostomy Tube Decannulation. J. Maxillofac. Oral Surg. 20, 510–511 (2021). https://doi.org/10.1007/s12663-021-01534-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12663-021-01534-z