A tricyleostomy is an opening through the front of the neck and into the windpipe.A plastic tube is put through the incision to keep the airway open.The procedure is done to avoid long-term damage to the area, which can be caused by intubation.It can be done in an emergency due to a blocked throat from an allergic reaction.Tracheotomies can be either temporary or permanent.It takes a lot of knowledge and attention to care for an infant with a permanent tracheostomy.Make sure that you are trained by the ENT or pulmonologist who placed your tracheostomy before you attempt to care for it at home.
Step 1: Take your materials.
The risk of lung infections is reduced if the airway is free of mucus.Infections in people with a tracheostomy tube are caused by lack of proper suctioning.A clean bowl filled with tap water and sterile latex gloves are required.
Step 2: You should wash your hands.
Before and after tracheostomy care, caregivers must wash their hands.It protects the patient from getting a disease through his neck hole.You should wash your hands with warm water and soap for at least 20 seconds.Dry your hands with paper towels or a cloth.Turn off the tap using a paper towel or cloth as a barrier.If you want to make your hands air dry, lather them with an alcohol-based sanitizer.
Step 3: Test the catheter.
Gloves should be placed on hands.While opening the package, be careful not to touch the tip of the catheter.The thumb control vent at the end of the catheter can be touched, so don't worry.If you wind the catheter around one hand, you can free up your other hand for other tasks.The catheter is connected to the machine.If it's possible to test through the catheter tip, turn on the machine.Put your thumb over the port of the catheter and release it.A tracheal tube may have a single or double opening.
Step 4: The patient should be prepared and given a drug.
The patient's shoulders and head should be raised.She should be comfortable during the procedure.She should take three to four deep breaths to calm down.When the patient is located, put 3–5 liters of solution into the tracheal tube.This will help increase the amount of mucus in the body.The formation of thick mucus plugs within the trachea can block the passage of air, so it's important to use a solution regularly.You need to talk to the patient's healthcare professionals.The type of tube that's in place can affect the care.Depending on how thick or how much mucus she produces in her trachea, the number of times saline should be instilled varies from one person to another.If there is an infectious disease, caregivers should observe the color, odor, and thickness of the mucus.
Step 5: Attach the catheter to the machine.
When the patient starts to cough, gently guide the catheter into the tracheal tube.This should be between 4 and 5 inches deep into the tube in most cases.The natural curve of the catheter should follow the tracheal tube.The patient should be more comfortable if the catheter is pulled back a little before the suction is applied.Remove the catheter from the tracheal tube in a slow and circular motion by covering the thumb control vent.During which the catheter should be rotating and pulling out consistently, it is not advisable to apply suck for longer than 10 seconds.The way out should always have something on it.Semi-flexible plastic, rigid plastic and metal are some of the materials used in tracheostomy tubes.Some of the tubes are disposable.
Step 6: The patient should be allowed to get some air.
In order for the machine to work, the patient needs to take three to four slow and deep breaths.The patient should be given oxygen after every suctioning is done or given time to breath depending on the patient's condition.If you want to remove the catheter, you have to wash it with hydrogen peroxide.If the patient is producing more secretions that have to be sucked out of the tracheal tube, repeat the process as needed.The airway needs to be clear of mucus.The oxygen is returned to the flow rate that it was before the procedure.
Step 7: Take your materials.
It is important that the tracheal tubes are free of mucus and foreign debris.It's a good idea to clean them at least twice a day.The more frequent, the better.You need a small, clean bowl, a fine brush and sterile half-diluted hydrogen Peroxide.
Step 8: You need to wash your hands.
It is important that you wash your hands.This will help prevent the spread of infections.The proper way to wash your hands is discussed above.Remember to use a mild soap, lather your hands well, rinse them, and dry them with a dry towel.
Step 9: The tracheal tube has an inner cannula.
In one bowl, place the 12 strength hydrogen peroxide solution, and in the other bowl the sterile saline solution.The doctor or nurse should teach you how to remove the inner tube of the tracheal tube while you are in the hospital.If you want to get rid of the particles on the tube, place the cannula in the bowl with the hydrogen peroxide solution.If you have replacement tracheal tubes, they don't need to be cleaned.
Step 10: The inner cannula needs to be cleaned.
Carefully clean the inside and outside of the inner cannula using a fine brush, to make sure it is clear of mucus.Don't use rough/coarse brushes for cleaning as this may damage the tube.After you've washed it, place it in the water for at least another five to 10 minutes to make it sterile.If you don't have any more water, soaking the tube in white vinegar will work.If you use disposable plastic tracheal tubes, skip this step and throw them out.
Step 11: The tube should be put back into the hole.
Once you've got a cleaned and sterile tracheal tube in hand, carefully insert it back into the tracheostomy hole while holding the neck plate still.The inner tube needs to be turned back into position.To make sure the inner tube is locked into place, gently pull the tube forward.This is the last part of your cleaning procedure.It is possible to prevent infections and other problems by performing this at least two times a day.
Step 12: Take a look at the stoma.
There is a hole in the neck where the tubes are inserted to allow the patient to breathe.After the skin breakdown and signs of infections, the stoma should be assessed.If there are any symptoms of an infectious disease, it's a good idea to consult a doctor.There are a variety of symptoms of a stoma infection.The tracheal tubes will be more difficult to insert if a stoma is inflammatory.If there is an issue with blood flow to the tissue, you should contact a doctor immediately.
Step 13: An antiseptic can be used to clean the stoma.
Clean and destroy the tracheal tube when you remove it.You can use an antiseptic solution.The stoma needs to be cleaned in a circular motion, starting at the 12 o'clock position and wiping downward to the three position.Then wipe the area around the nine o'clock position with a new gauze dipped in antiseptic.The lower half of the stoma needs to be cleaned.Then move from the nine to the six position.Only if you've been trained to do so.
Step 14: It's a good idea to change the dressing frequently.
The dressing around the tracheostomy needs to be changed at least twice a day.It helps to prevent infections in the respiratory system.The skin's integrity can be promoted by changing it.A new dressing helps to absorb the sputum that might leak around the stoma.A wet dressing should be changed.This can lead to health problems.The ribbons that keep the tracheal tube in place should be changed if they get wet.Hold the tracheal tube in place as you change the ribbons.
Step 15: It's a good idea to cover your tube outside.
Doctors and healthcare professionals insist on covering your tracheal tube because foreign particles and debris can enter an uncovered tube and enter your windpipe.Dust, sand, and other pollutants can be found in foreign particles.This can cause irritation and even infections.Entry of debris into your tube can cause mucus production in your windpipe, which can lead to breathing difficulties and infections.If you spend a lot of time outdoors, make sure to clean your tracheal tube more often.It's a good idea to talk to your healthcare professional about whether or not you should cap the tube when you're not using it.
Step 16: Don't swim.
Swimming can be dangerous for patients with tracheostomy.The cap on the tube is not completely watertight while swimming.Water in the lungs can cause a condition called "aspiration pneumonia" if it enters directly into the tracheostomy hole.Aspiration pneumonia can lead to death even after small amounts of water.The risk of abacterial infections can be increased by the entry of water into the lungs.It is a good idea to cover the tube when taking a bath or shower.
Step 17: The air should be moist.
The air in the lungs tends to hold more water when people breathe through their noses.People with a tracheostomy don't have this ability, so the air they breathe in is the same humidity as the outside air.It's important to keep the air as moist as possible in dry climates.During dry conditions at home, use a humidifier.It's important to keep it clean so it doesn't develop mold.Should you humidify the air if you need supplemental oxygen?