Tracheostomy Care

Posted by admin on January 6, 2018 in Articles

GUIDELINES FOR
TRACHEOSTOMY CARE
Presented by Franci Crockett & Jennifer Hancock Objectives:
Educate medical staff about:
? Anatomy of Trach Tube
? Types of Trach Tube
? Indications for Tracheotomy
? Complications with Tracheostomies
? Equipment required @ bedside
? How to clean a trach and stoma properly
? Tracheal Downsizing
? Decannulation
? Troubleshooting Anatomy of a Trach Tube
? Face Plate
? Hub12
3? OuterCannula
? PilotBalloon
? Cuf45 1. Faceplate :

Extends from the
sides of the outer
tube and has holes
for Velcro strap or
neck ties to go
around the neck2. Hub:

Used to attached to
ventilator/ballard4. Pilot balloon:

External balloon that
allows the cuff to be
inflated/deflated
Can tell if the cuff is
or is not based on its
appearance5. Cuff

Creates a seal
between wall of
trachea and outside
tube3. Outer cannula

Holds tracheostomy
open
Allows positive
pressure ventilation
Connects to face
plate
Prevents aspiration Anatomy
1. Obturator:
Continued

Used only for
insertion of trach
tube
? Decreases tissue
trauma
? Place in a bag at the
head of the patient’s
bed1? In the eventof emergent
decannulatio
n, the staff
canShile
y Anatomy Continued
2. Inner Cannula
? Fits inside theouter cannula
? Lock keeps it in
place while
coughing
? May be
disposable or
reusable1
2Shile
y ? Cuffed Tube
? Used to Obtain closed circuit for ventilation
? Inflate cuff to MLT or 20-30 cmH2O
? Check cuff pressure at least twice a day:
? @TMCP with every vent check? Deflate while using Speaking Valve (Anatomy cont)
? Cuffless Trach Tubes
? Inner cannula may be disposable or
reusable
? Used when patients are close to
decannulation
? Patient able to talk and eat without
speaking valve Tracheostomy Tubes Diferent brands/types? Shiley
? Bivona…