A tracheostomy is a surgically designed hole in the front of a person’s trachea on the neck, where a breathing tube is inserted. Breathing is done through the inserted tube, rather than the nose and mouth. The procedure to create tracheostomy is called tracheotomy, but sometimes the terms are used interchangeably. The procedure may be necessary during an emergency situation when a person’s breathing path is blocked or as a procedure designed to help to breathe. Most are needed for long-term health problems that require assisted breathing.
Paralysis, head or neck surgery, trauma and neck blocking (cancer) can justify this procedure. Surgical is the most common, but the type of procedure depends on the planned situation or the emergency situation. The surgical pathway requires general anesthesia, while a minimally invasive pathway uses a local anesthetic for numbness of the neck and neck region.
After a tracheostomy, a nurse will train a patient to clean and change the device introduced. Daily care prevents infection. The device contains two parts, an outer tube and an inner tube (canola). The two sides are locked together and sometimes the outer tube is surgically sewn into the skin on the neck. The inner tube can be unlocked and removed to facilitate daily cleaning. The pan is commonly used to protect the skin from secretions from tracheal opening (stoma) during the cleaning procedure. Home medical products help protect the skin, clean and replace tracheostomy with the inner tube.
A second important aspect of care includes preventing the blockage of the respiratory tube. The mucus becomes thicker after the procedure because the dry air does not pass through the wet cavities and the wet throat. Drying causes irritation, coughing, and excessive mucus production. Humidification of inspired air helps reduce mucus production, but home medical products are usually needed to aspire excess mucus through the tubing.
As with any medical procedure, complications may occur. Medical care is required when neither aspiration nor a cough improves breathing. Mucus blocking puts life in jeopardy. Also, if stoma tracheostomy appears to have pus or is red and swollen, there may be an infection. Fever also indicates an infection.
Home care medical devices required for proper care include sterile gloves, gauze, replacement tracheostomy tubes, suction machine, suction tubes and suction catheters. The precision of cleanliness and careful observation of appropriate procedures will ensure the continued operation of the introduced device. A tracheostomy is usually temporary and when the breathing capacity returns, the tubes are removed and the stoma is closed.
Hope these guides helped you to know more about tracheostomy care. Learning on how to do this must know the proper knowledge and needs a further practice and training to master this.