A 5-year-old patient diagnosed with tracheomalacia after a long intubation has had numerous failures to wean and extubate
What should the respiratory therapist recommend to help alleviate spontaneous breathing prob-lems associated with tracheomalacia until a stent can be placed in the airway?
a. BiPAP
b. Nasal HFV
c. Nasal SiPAP
d. Tracheostomy and CPAP
ANS: D
Tracheomalacia can make weaning from ventilation and extubation difficult. A tracheotomy and CPAP would be appropriate for this patient (24 hours a day) until surgery to place a stent in the airway can be performed.
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