Tracheostomy Care
A tracheostomy is a medical procedure that involves creating an opening (stoma) in the neck, leading directly into the trachea (windpipe). This opening enables air to bypass the upper airway, allowing individuals with respiratory issues to breathe more easily. It is often used for residents with conditions such as chronic lung disease, neuromuscular disorders, trauma, or other conditions that impede normal breathing. While the procedure itself is relatively straightforward, ongoing management is essential to prevent complications and maintain a resident’s health and wellbeing.
This comprehensive guide outlines our approach to tracheostomy care, the role of our multidisciplinary team, and how we ensure the highest quality of life for residents who require ongoing respiratory support.
PHS Care Services
Tracheostomy care involves a range of procedures and techniques aimed at maintaining the function of the tracheostomy tube and ensuring that the resident can breathe comfortably. Below are some of the key components of tracheostomy care:
1 – Cleaning and Maintaining the Tracheostomy Tube
One of the most important aspects of tracheostomy care is keeping the tracheostomy tube clean and free from blockages. This involves regularly cleaning the inner cannula (if present) and ensuring that the stoma site is free from infection or irritation.
- Cleaning the Inner Cannula: For residents with a tracheostomy tube that has an inner cannula, this tube must be removed and cleaned at least once a day to prevent the build-up of mucus or debris. Our nursing staff are trained in the proper cleaning techniques, ensuring that the cannula is thoroughly cleaned and reinserted without causing discomfort to the resident.
- Cleaning the Stoma: The skin around the tracheostomy site must be kept clean and dry to prevent infection. Our carers and nurses follow strict hygiene protocols when cleaning the stoma, using sterile solutions and dressing materials to protect the skin.
2 – Suctioning
The ability to cough and clear mucus from the lungs may be impaired for many residents with a tracheostomy. In these cases, suctioning is required to remove mucus from the airway and prevent blockages.
Our nurses are trained in safe and effective suctioning techniques, ensuring that the procedure is performed gently and efficiently. We also use specialised equipment to monitor oxygen levels during suctioning, ensuring that the resident remains comfortable and well-oxygenated throughout the process.
3 – Humidification
Because a tracheostomy bypasses the upper airway’s natural humidification process, humidified air is essential to prevent the airway from drying out. Dry air can cause thick mucus secretions, which can block the tracheostomy tube and lead to respiratory distress.
We use a variety of humidification methods, including humidifiers, nebulisers, and heated circuits, to ensure that the air residents breathe is properly humidified. Our respiratory specialists work with each resident to determine the best humidification method for their needs, ensuring that they remain comfortable and able to breathe easily.
4 – Tube Changes
Regularly changing the tracheostomy tube is an essential part of tracheostomy care, as it prevents blockages and reduces the risk of infection. Our nurses are trained in performing tube changes safely and efficiently, ensuring that the procedure is as comfortable as possible for the resident.
We follow a strict schedule for changing tracheostomy tubes, but we are also prepared to perform emergency tube changes if necessary. In the event of an emergency, our nursing staff are trained to respond quickly and effectively to minimise any disruption to the resident’s breathing.
5 – Emergency Care
While tracheostomy care is generally straightforward, there may be occasions when an emergency arises. This could be due to a blocked or displaced tracheostomy tube, respiratory distress, or other complications.
We are prepared to respond to any tracheostomy-related emergencies promptly and effectively. Our nurses and carers are trained in emergency protocols, including how to manage a blocked tracheostomy tube, perform emergency suctioning, and provide ventilatory support if necessary. We also work closely with local healthcare providers and emergency services to ensure that residents receive immediate medical attention if required.
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