Q: What is the rule of thumb while applying tie to Tracheostomy tube?
Answer: “tight enough to slip one finger beneath the tie.”
The tie around tracheostomy tube must be tight enough to secure the tube but loose enough to avoid skin breakdown and vascular obstruction.
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Sherman JM, Davis S, Albamonte-Petrick S, Chatburn RL, Fitton C, Green C, Johnston J, et al. Care of the child with a chronic tracheostomy: official statement of the American Thoracic Society. Am J Respir Crit Care Med 2000;161(1):297-308.
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