As a follow up to Dr. Dennison’s presentation yesterday: see this link if you’d like to watch a couple videos on replacement/troubleshooting. They go through passing a new Trach over an airway exchange catheter as well as a Bougie.
http://www.tracheostomy.org.uk/Templates/Videos.html
This link is the algorithms for both Tracheostomy and Laryngectomy: http://www.tracheostomy.org.uk/Templates/Algorithms.html