Tracheostomy decannulation: Key practical aspects

Tracheostomy is one of the most frequently performed procedures in the intensive care unit (ICU) [1], especially after the introduction of percutaneous techniques [2]. It is performed in critically ill patients to protect the airway, remove secretions, or provide ventilatory support [3].The indications for placement of a tracheostomy tube include failure to wean from invasive mechanical ventilation, impaired neurologic status, an inability to handle excessive secretions, and the need to bypass an upper-airway obstruction [4]. In addition, the placement of a tracheostomy tube facilitates the transfer of the patient from the ICU to a weaning facility such as a step-down unit or a long-term care hospital [5].