Abstract
Background: Head and neck cancer treatment includes surgery and/or radiotherapy and/or chemotherapy. A tracheotomy is often essential in major surgeries for this type of canker. More literature is needed on the tracheotomy cannula removal process and the role of the patient in the interdisciplinary team. Specific objetives: To identify the nursing interventions for a safe decannulation process in patients undergoing head and neck cancer surgery. Methods: Rapid systematic review on medline and cihnal, january 2023. Results: Seven studies met the inclusion criteria. The nursing interventions were grouped into before, during and after the decannulation. Conclusions: The decision for decannulation is medical, and a multidisciplinary approach is essential in the decannulation process to ensure safe and appropriate practices. The team must guarantee that the reason for performing the tracheostomy is resolved and that no anesthetic or surgical procedure is planned for shortly. These are essential factors associated with the state of consciousness, deflation of the cuff and tolerance of the tube cover before decannulation. The literature highlights the need for experienced teams, including nurses, to ensure the safe cannula removal process. This review highlights the importance of disease intervention in all phases of this process: before decannulation, during and following the procedure, to avoid complications, such as the need to reposition the tracheotomy cannula.
| Original language | English |
|---|---|
| Pages (from-to) | 40-40 |
| Number of pages | 1 |
| Journal | Revista Portuguesa de Oncologia |
| Volume | 6 |
| Issue number | 4 |
| Publication status | Published - Nov 2023 |
| Externally published | Yes |
| Event | 20º Congresso Nacional de Oncologia - Estoril, Portugal Duration: 22 Nov 2023 → 24 Nov 2023 |
