Management of Adult Patients with Tracheostomy in the Acute Care Setting

Publication Date: December 31, 2020
Last Updated: March 14, 2022

Recommendations

Evidence supports the use of tracheostomy bundles that have been evaluated and approved by a team of subject-matter experts for tracheostomized adult patients in the acute care setting.
(Evidence level B; median appropriateness score 7, range 6–8)
6731
Evidence supports the addition of a multidisciplinary tracheostomy team to the management strategy of tracheostomized adult patients in the acute care setting.
(Evidence level B; median score 7, range 5–8)
6731
Evidence supports the use of a protocol to guide weaning and removal ofthe tracheostomy tube in tracheostomized adult patients in the acute caresetting.

(Evidence level B; median appropriateness score 8, range 8)

6731
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Grading Table
Evidence Levels Likert Scale (1–9) (Harm vs. Benefit)
A Strong All votes ≥7
B Weak Any vote <7
C Expert opinion

Recommendation Grading

Overview

Title

Management of Adult Patients with Tracheostomy in the Acute Care Setting

Authoring Organization

American Association for Respiratory Care

Publication Month/Year

December 31, 2020

Last Updated Month/Year

August 30, 2024

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Inclusion Criteria

Male, Female, Adult

Health Care Settings

Ambulatory, Emergency care, Hospital

Intended Users

Nurse, nurse practitioner, physician, physician assistant, respiratory therapist

Scope

Assessment and screening, Management

Diseases/Conditions (MeSH)

D014139 - Tracheostomy

Keywords

tracheostomy, Clinical Guideline, tracheostomy tube, tracheostomy care, tracheostomy team, tracheostomy bundle, tracheostomy protocol

Source Citation

Mussa CC, Gomaa D, Rowley DD, Schmidt U, Ginier E, Strickland SL. AARC Clinical Practice Guideline: Management of Adult Patients with Tracheostomy in the Acute Care Setting. Respir Care. 2021 Jan;66(1):156-169. doi: 10.4187/respcare.08206. Epub 2020 Sep 22. PMID: 32962998.

Supplemental Methodology Resources

Data Supplement