TRACHEOSTOMY CARE prepared by: Leonel G. Lozada What is a Tracheostomy? A tracheostomy is an opening (made by an incision) through the neck into the trachea (windpipe). A tracheostomy opens the airway and aids breathing. When is a tracheostomy considered? Obstruction of the mouth or throat Breathing difficulty caused by edema (swelling)‚ injury or pulmonary (lung) conditions Airway reconstruction following tracheal or laryngeal surgery Airway protection from secretions or food because
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Tracheostomy A tracheostomy‚ according to Medscape‚ is “an artificial opening made by a surgical incision into the trachea”. A physician may order a tracheostomy for several different reasons. The most common need for this procedure is to provide a patent airway. It is also used in conjunction with respiratory therapists to deliver supplemental oxygen to patients who are unable to adequately take in oxygen independently. Primary nursing responsibilities are to maintain a patent airway‚ keep
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Benefits of Oxygen Therapy and Tracheostomy Placement Rhoda F. Eshbach Unitek College August 7‚ 2016 Miss Williams Abstract This paper examines numerous published articles that speak about the benefits of oxygen therapy‚ its medical uses‚ and its palliative values. This paper discusses two differing possibilities in oxygen application‚ and various conditions that can be managed with oxygen (Sharifipour‚ 2011). This study will also explain tracheostomy use‚ when it is indicated‚ and how
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What is a Tracheostomy? Alex Lopez English 10 Mr. Glavin 6 June 2013 Lopez i Outline THESIS: The everyday living of a tracheostomy and ventilator patient consists of the care that is needed‚ the risks that are taken‚ and how it affects life. I. What is a tracheostomy? A. A tracheostomy is an opening of the windpipe done surgically‚ called a stoma. B. A tube‚ known as a trach‚ is inserted through the stoma allowing
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CHANGING THE TRACHEOSTOMY Before to start this important operations we have to prepare all the equipment required : * Standard dressing pack : to clean stoma * Aprons : for cleanliness * Tracheostomy set : to replace old tracheostomy * 2nd tracheostomy set 1 or ½ size smaller : in the event the stoma tightens and the larger size trachy won’t fit * Sachet lubricating gel : to lubricate it to make putting the new trachy in easier * Gloves : for cleanliness * Sachet
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Introduction: A tracheostomy is placed when the upper airway is compromised‚ and the patient cannot breathe on his or her own. A common reason for needing this in the pediatric population is due to a subglottic stenosis (SGS) (Deutsch‚ 2010). Although an SGS can be congenital‚ most are the result of intubation‚ as the subglottis cannot stretch to accommodate the endotracheal tube (ETT). While many acquired SGS happen from 2 weeks to 10 years old‚ the majority of these are before the age of 1
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need for higher level of care. A recent study showed obesity was associated with significantly higher all-cause mortality relative to normal weight population [3]. From a pulmonary standpoint‚ lung physiology is significantly altered in the obese patient; including respiratory muscle insufficiency‚ reduced functional residual volume (FRC)‚ expiratory reserve volume (ERV) and lung compliance [4]. Ventilation and perfusion (V/Q) matching is altered due to small airway
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Teaching Plan: Tracheostomy Care for Patients and Family upon Home Discharge Patients who undergo a tracheostomy and their family must demonstrate understanding and performance of the following objectives: 1. The anatomical changes related to the procedure. 2. Management of a tracheostomy. 3. The importance of humidification and suctioning in maintaining airway patency. 4. Awareness of possible problems/complications in tracheostomy management. A normal breathing pattern draws air
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Tracheostomy suction procedure can be done every 2 hours or as needed when the patient breathes by loading crackle or wheezing sounds‚ or when there are excessive secretions and it performed by washing hands then inserting the suction catheter through the tracheostomy tube within shorter distance around 4 to 5 inches or 10 to 12.5 cm or until the nurse feel the resistance caused by the contact between the catheter and the lower end of the tracheal cartilage then she should raise the catheter approximately
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How to Change a Cuffless Tracheostomy Tube A tracheostomy tube‚ or trach tube‚ allows a person to breath without using his or her nose or mouth. Some trach tubes have a cuff on the end that keeps air from reaching the mouth and nose. A cuffless tracheostomy tube does not have a cuff. Since there is no cuff‚ a person with this kind of trach tube can cough and speak normally. Two people are needed to change a cuffless trach tube. SUPPLIES NEEDED Clean gloves. A new trach tube and an emergency
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