Vol 15, No 3 (2021)
Case report
Published online: 2021-06-15

open access

Page views 6150
Article views/downloads 335
Get Citation

Connect on Social Media

Connect on Social Media

Emergency replacement of an obstructed tracheotomy tube in patients receiving palliative or ventilatory care by paramedics — a proper conduct or overstepping of competencies?

Katarzyna Butna1, Krzysztof Wiśniewski2, Małgorzata Krajnik1
DOI: 10.5603/PMPI.2021.0018
Palliat Med Pract 2021;15(3):263-266.

Abstract

This article describes the consequences of a situation when paramedics did not attempt to replace an
obstructed tracheotomy tube in a patient with respiratory failure treated at home. It also indicates the
possible reasons for paramedics’ misconduct and actions that should be taken to ensure that paramedics
know the scope of their competencies and are capable of replacing a tracheotomy tube at a patient’s
home. If no adequate action is taken, it may result in additional suffering stemming from the necessity to
transport the patient to the hospital.

Article available in PDF format

View PDF Download PDF file

References

  1. Szkulmowski Z. Szczególne problemy wentylacji mechanicznej w domu chorego. In: Maciejewski D, Wojnar-Gruszka K. ed. Wentylacja mechaniczna – teoria i praktyka. Alfa Medica Press, Bielsko–Biała 2016: 533–583.
  2. Park YJ, Lee J, Kim SH, et al. Care Status of the ALS Patients With Long-Term Use of Tracheostomy Tube. Ann Rehabil Med. 2015; 39(6): 964–970.
  3. Chiner E, Sancho-Chust JN, Landete P, et al. Complementary Home Mechanical Ventilation Techniques: Separ Year 2014. Arch Bronconeumol. 2014; 50(12): 546–553.
  4. Morris LL, McIntosh E, Whitmer A, et al. Tracheostomy care and complications in the intensive care unit. Crit Care Nurse. 2013; 33(5): 18–30.
  5. Rozporządzenie Ministra Zdrowia, Dz.U. 2020 poz. 882. http://isap.sejm.gov.pl..
  6. Obwieszczenie Marszałka Sejmu Rzeczpospolitej Polskiej, Dz.U. 2019 poz. 2478. http://isap.sejm.gov.pl .
  7. Maciejewski D. Tracheotomia przezskórna. Wydawnictwo Makmed, Lublin 2019: Lublin.
  8. https://plus.pomorska.pl/ratuja-a-po-godzinach-maja-o-czym-gadac-wideo-zdjecia/ar/10018374.
  9. https://www.radiopik.pl/2,43660,ratownictwo-po-godzinach-szkolenia-i-integracja.
  10. https://www.blog.justsaveit.pl/2015/11/ratownictwo-po-godzinach-bydgoszcz-relacja.
  11. https://www.se.pl/bydgoszcz/ratownictwo-po-godzinach-w-bydgoszczy-lacza-przyjemne-z-pozytecznym-audio-aa-Xt1R-Xzgg-3jPE.html.
  12. https://www.blog.justsaveit.pl/2016/05/rpg-100-urodziny.



Palliative Medicine in Practice