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Case report
Published online: 2021-06-15
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Emergency replacement of an obstructed tracheotomy tube in patients receiving palliative or ventilatory care by paramedics — a proper conduct or overstepping of competencies?

Katarzyna Butna, Krzysztof Wiśniewski, Małgorzata Krajnik
DOI: 10.5603/PMPI.2021.0018

open access

Ahead of Print
Case report
Published online: 2021-06-15

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.

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.

Get Citation

Keywords

invasive ventilation, tracheotomy tube replacement, paramedic, palliative care, amyotrophic lateral sclerosis

About this article
Title

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

Journal

Palliative Medicine in Practice

Issue

Ahead of Print

Article type

Case report

Published online

2021-06-15

DOI

10.5603/PMPI.2021.0018

Keywords

invasive ventilation
tracheotomy tube replacement
paramedic
palliative care
amyotrophic lateral sclerosis

Authors

Katarzyna Butna
Krzysztof Wiśniewski
Małgorzata Krajnik

References (12)
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