decannulation
Pronunciation: dee-CAN-yoo-lay-shun
The planned removal of a tracheostomy tube when it is no longer medically necessary.
Full Definition
Decannulation is the process of removing a tracheostomy tube from a patient who has recovered sufficiently to breathe independently through their upper airway. This procedure requires careful assessment of the patient's ability to maintain adequate ventilation, clear secretions, and protect their airway. The decannulation process typically involves downsizing the tracheostomy tube, capping trials to ensure the patient can breathe through their nose and mouth, and monitoring for signs of respiratory distress. Successful decannulation indicates that the patient has regained normal respiratory function and airway protection.
Usage
Usage note: Not to be confused with extubation, which refers to endotracheal tube removal.
In Context
- "The patient successfully completed a 24-hour capping trial and is ready for decannulation tomorrow." — Progress note
- "Decannulation was postponed due to increased secretions and weak cough reflex." — Clinical assessment