A. If the patient or family has a replacement tube available, it may be used. If a replacement tube is not available, an endotracheal tube of a similar outer diameter may be used.
B. Premoisten the tube with water soluble lubricant.
C. Extend the neck and, if necessary, place a roll between the patient’s shoulder blades to aid in visualizing the stoma.D. If the tube cannot be placed easily, withdraw the tube; administer oxygen and positive pressure ventilation. NEVER
force the tube.
E. Secure the device to the patient.
F. If the tube cannot be easily placed, a suction catheter may be used as a guide.