CPR and Rescue Breathing for Infants with Tracheostomy (Newborn to 1 Year)

You arrive on the scene: Check the scene for safety

Check the infant for consciousness. Gently tap the shoulder or flick the bottom of the heel and shout. 

No Response

Call 911 immediately.

If the infant is lying on his stomach, turn him over onto his back.  The infant should be lying on a hard flat surface

Check for Breathing and Signs of Life

Watch the infant’s chest for any normal movement. Look for signs of life and breathing for no more than 10 seconds.

No Breathing or Signs of Life

Begin CPR

1. Position 2 or 3 fingers on the center of the infant’s breastbone, just below the nipple line. 

2. Compress the chest 1½ inches in depth 30 times. 

3. After the compressions, give 2 breaths using the resuscitation bag attached to the trach.  Gently squeeze the bag and give 2 breaths – just enough to make the infant’s chest rise.

4. Continue with 30 compressions / 2 breaths, 30 compressions / 2 breaths, etc. 

If Breaths Do Not Make Chest Rise

a. Suction the trach tube. If the trach has an inner cannula, remove it and suction the length of the trach tube.

b. Change the trach if it is plugged or dislodged.

c. Give 2 breaths to the trach, using a resuscitation bag. 

Continue CPR until another rescuer takes over, you see signs of life or help arrives.  

For additional information on this Health Topic, call the CPR Department at 513-636-1096, or call your pediatrician.

The Center for Professional Excellence / Education at Cincinnati Children’s offers community CPR and first aid classes for families. Classes are conveniently held during evening and weekend hours at various locations. 

Call 513-636-1096 for more information or to see which class best serves your needs.

Last Updated 06/2014

About the Video

The video on this page demonstrates proper techniques when providing rescue breathing and CPR for infants with a tracheostomy. 

BE ADVISED: This is not a certification for CPR.