Helen Patton
20 Apr 2016 · Coroner Karen Dilks · Newcastle Upon Tyne
The coroner's concerns
1. Mini tracheostomy performed without theatre conditions or ultrasound guidance
“The Continuing risk of mortality where Mini Tracheostomy Procedures are not undertaken within theatre conditions or ultrasound guided”
2. Lack of ultrasound guidance and theatre conditions for mini tracheostomy
“Mini Tracheostomy Procedures are undertaken regularly on a national level without ultrasound guidance or in theatre conditions”
3. Absence of national guidance for mini tracheostomy
“The absence of any national guidance in respect of Mini Tracheostomy Procedures to minimise the risks associated with them particularly the risks of conducting such procedures outside of an operating theatre and without ultrasound guidance”