Tracheostomy is a procedure predicted to become more common as the demand for intensive care services grows. There are, however, substantial concerns regarding the national standard of tracheostomy care currently provided.1 We have recently reported our initial experience attempting to improve tracheostomy care following the introduction and prospective audit of a tracheostomy care bundle (Fig. 1). Although this has shown some benefit, there was still a shortfall in tracheostomy care which warranted further improvement.2
Our aims were to:
- 1 Improve patient care and expertise by incorporating an ENT led MDT approach for tracheostomy-related problems.
- 2 Reduce tracheostomy decannulation time following discharge from ITU.
- 3 Reduce the number of tracheostomy-related complications.
- 4 Promote national improvement in tracheostomy care on general wards.
In line with Lewis et al., we used ‘time to decannulation’ as an objective measure of tracheostomy care in addition to compliance rates with the tracheostomy care bundle (Fig. 1).