Tracheostomy-complications

One of the most common problem is decanulation in a patient with long standing tracheostomy.This is particularly in kids. One of the causes of this is the emotional dependence on the tracheostomy tube. Other cause is the formation of granulation tissue in the trachea.As the tracheostomy tube is removed,the patient feels uncomfortable and suffers from respiratory difficulty.In such patients direct laryngoscopy should be done to look for any granulation tissue in trachea.For decanulation in such cases the size of the tube is gradually reduced and decanulation done by 72 hours or more.