Head-of-Bed Signs and UK Trach Safety Project http://tracheostomy.org.uk//Templates/Algorithms.html When to Trach Consider when > than 14 days of intubation are planned. Risks include: Tracheoinnominate Artery Fistula (TIA)-causes severe airway bleeding which can be fatal. Consider hyperinflating the cuff to tamponade bleeding as temporizing measure. In differential of any bleeding >48 hours after placement. Tracheoesophageal Fistula […]