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3.Tracheostomy procedures in the intensive care unit: an international survey
Maria Vargas, Yuda Sutherasan, Massimo Antonelli, Iole Brunetti, Antonio Corcione, John G. Laffey, Christian Putensen, Giuseppe Servillo and Paolo Pelos Critical Care201519:291, DOI: 10.1186/s13054-015-1013-7
Established and validated protocol probably is rare. One study on the background of the need for a protocol in the decision to remove the tracheal tube has shown six criteria for tracheal decannulation: level of consciousness, respiration, tracheal secretion, phonation, swallowing, and coughing. Probably we can adapt this, prepare protocol and validate it. You can go through the study http://dx.doi.org/10.1055/s-0033-1363467