Manur - Decannulation challenge !

Decannulation challenge !

TBI in rheumatic heart disease pt post Aortic valve replacement on warfarin with target inr ~2.5 ...

Issues : active bleeding from tracheostomy site hampering weaning and decannulation...

Portex pvc tracheostomy tube was changed with (covidien) Shiley's fenestrated tracheostomy tube for safe decannulation !

Patient comfortable , able to talk and no incidence of bleeding !!

Dr Muzzamil Siddiqui

Chief Intensivist and anaesthesiologist

Manur Hospital