What 5 things are important when securing an airway/confirming placement? explain a little about each.
1. Tape, trach ties, or a holder ( this is what secures it, the balloon DOES NOT secure it)
2. Placement - x-ray (2-5 cm above carina)
3. Patient communication
4. Adeqaute humidification (30 mg/l water vapor, and short term use of HME. Use for short term or else you will start having drying and then narrowing of the airway)
5. Minimize nosocomial infections