Notes: Pt in today for tracheostomy tube change , present trach was checked after 8 cc air, cuff did not hold any inflation. Pt did bring a Shiley Cuffed tracheostomy Tube 4DCT.5.0mm I.D. 9.4mmO.D. Current trach was checked noting a cuffed 4DCT with same dimensions. Pt was reclined back in her chair, cuff was checked again for complete deflation. Pt was suctioned obtaining only minimal secretions. Inner cannula was removed and was clear. Trach was removed with minimal effort, oxygen delivered. Pt rested for aproximately 45 sec. then new trach was inserted with minimal resistance. Pt tolerated procedure very well. 5 cc of air was introduced into cuff. Inflation noted. Air was then removed and speaking valve was placed.

Thank you in advance,
Kimberly Lynn, CPC