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Tracheostomy Education for Patients and Caregivers

Tracheostomy Education for Patients and Caregivers Mount Sinai Department of Otolaryngology Head and Neck Surgery Objectives what a Tracheostomy is and why it is performed the different parts of a Tracheostomy tube how to clean and take care of a Tracheostomy how to manage common complications Brief Introduction To Tracheostomies What is a Tracheostomy ? Opening through the neck into the trachea (windpipe) 4 True or False: A Tracheostomy is always permanent Tracheostomy is only needed as long as the patient requires it May be temporary or permanent Depends on the reason for initial Tracheostomy placement 5 Why would someone need a tracheotomy? in the mouth, larynx (voice box), or upper trachea (wind pipe) intubation/Inability to be taken off the ventilator Hygiene: improved cleaning of the lungs ( manage secretions) 6 Bypass Obstruction 7 Pulmonary Hygiene Removal of secretions and protection of lungs 8 Respiratory Failure/Prolonged Intubation 9 Surgical Anatomy Surgical Anatomy 11 The Parts of the Tracheostomy Tube Tracheostomy Components 13 Tracheostomy Component Functions Outer cannula: Main portion of the Tracheostomy , serves as connection between trachea and skin Inner cannula: removable tubing that sits in the outer cannula.

• A plug or partially plugged trach will make it hard to breath o Most often due to thickened secretions or crusting • If this happens, try to stay calm and follow these steps: o Remove the inner cannula o Forcefully cough several times o Suction the tracheostomy o Forcefully cough again o Squirt saline into trach o Suction and cough again

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  Chart, Education, Patients, Suction, Caregivers, Tracheostomy, Tracheostomy education for patients and caregivers

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