Decannulation in patients undergoing head and neck cancer surgery: Rapid review
Ana Inês Frade,
José Moreira,
Lucinda Pires,
Marta Duarte,
Tiago Cunha,
Susana Miguel
Affiliations
Ana Inês Frade
Unidade de Cuidados Pós-Anestésicos, Hospital da Luz de Lisboa; CIDNUR (Nursing Research, Innovation and Development Centre of Lisbon), Lisboa
José Moreira
Universidade de Évora, Évora, Portugal; Comprehensive Health Research Center, Escola Nacional de Saúde Pública, Lisboa
Lucinda Pires
Instituto Português de Oncologia de Lisboa de Francisco Gentil, Serviço de Consultas Externas, Lisboa
Marta Duarte
Instituto Português de Oncologia de Lisboa de Francisco Gentil, Serviço de Cirurgia de Cabeça e Pescoço, ORL e Endocrinologia, Lisboa
Tiago Cunha
Instituto Português de Oncologia de Lisboa de Francisco Gentil, Unidade Local do Programa de Prevenção e Controlo de Infeção e Resistência aos Antimicrobianos, Lisboa
Susana Miguel
Instituto Português de Oncologia de Lisboa de Francisco Gentil, Serviço de Cirurgia de Cabeça e Pescoço, ORL e Endocrinologia, Lisboa
Introduction: Tracheotomy is commonly used in patients with head and neck cancer undergoing major surgery. Purpose: Aims to identify the nursing interventions in the safe decannulation process in patients undergoing head and neck cancer surgery. Methods: Rapid review on MEDLINE and CIHNAL, January 2023. Results: Seven studies met the inclusion criteria. The nursing intervention was grouped into before decannulation, during the decannulation process and after the decannulation. Conclusion: The literature review shows the need for a structured nursing process supporting safe decannulation. The team must ensure which was the criteria for elective tracheotomy were resolved and that no anesthetic or surgical procedure is foreseen shortly. These are essential factors associated with the state of consciousness, deflated tube’ cuff and tube cap tolerated before decannulation. The literature highlights the need for experienced teams, including nurses, to ensure the safe decannulation process.
