Page 11 - Portuguese Journal - SPORL - Vol 61. Nº2

4 - After inspecting the patient's records, you realize that he/she was submitted
to total laryngectomy approximately 5 years ago. In light of this information,
which of the following presumptions is true?

Laryngectomy was performed in a surgery before tracheostomy 23,5%
The patient cannot stop using a tracheostomy tube 57,6%
The patient is not at risk for aspiration 2,3%
The patient cannot be fed orally 17,4%
5 - You have another patient with a tracheostomy under your care in the ward.
Which information should you pass on to the nursing team?

The aspiration of secretions must be performed by an otorhinolaryngologist 0,8%
The patient should be isolated in a ward 2,3%
The external tube can be attached to a band that is placed around the neck 61,4%
The external tube should be removed for the cleaning of secretions several times a day 35,6%
6 - The patient has a tube similar to the one shown in Figure
(cuffed fenestrated).
Which of the following statements is true?

The diameter of the tubes does not change 0,0%
The cuff should be high-pressure and low-volume 12,9%
If the cuff is inflated and covers the external hole of the tube, the patient is able to 22,0%
breath through the mouth
If necessary, the patient can be ventilated by positive-pressure ventilation through 65,2%
this tube
7 - Select the correct statement about the tube
that is shown in Figure
(uncuffed fenestrated).

It is especially designed for laryngectomized patients 31,8%
In order to function properly, it cannot have the internal cannula inserted 42,4%
It should not be used in patients at risk of aspiration 4,5%
It is necessary to cover the fenestrae so that the patient can vocalize 21,2%
8 - You are called by a nurse in your ward because a patient is having dyspnea.
On approaching the patient, you see that he/she is laryngectomized.
Which of the following actions is the most correct?

You should immediately remove the external cannula 6,8%
You should apply an O2 nasal cannula 68,2%
You should try to pass a suction catheter after removing the internal cannula 11,4%
You should administer a bolus of physiological saline through the tracheostomy 13,6%
cannula

The distribution of results is in the form of a percentage. For each of the questions, the answer considered, the correct one is the one
with a darker tone.

Volume 61 . Nº2 . June 2023 153