<prompt> A tracheostomised patient, with poex tracheostomy tube, in the ward, developed sudden complete blockage of the tube. Which of the following is best next step in the management?Immediate removal of the tracheostomy tubeSuction of tube with sodium bicarbonateSuction of tube with salineJet ventilation  <response>: Immediate removal of the tracheostomy tube is best next step in the management in the above case -Suction of tube with sodium bicarbonate is done to avoid the blockage. -Suction of the tube with saline cant be used when theres a complete obstruction. - Jet ventilation is done below the level of larynx, when were operating on the larynx. 