After creation of a percutaneous tracheotomy site for prolonged ventilation, one of the immediate complications is accident decannulation.
Conventional practice is if the tracheotomy site is <7 days old, NOT to blindly re-insert the tracheotomy cannula. The risk is re-cannulation into a false tract (i.e anterior mediastinum). Immediate preparation for endo-tracheal intubation should be considered.
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