RESPIRATORY MANAGEMENT IN SPINAL CORD INJURY: BREATHING AND THE RESPIRATORY SYSTEM IN SCI: TREATMENTS FOR RESPIRATORY TRACT COMPLICATIONS: TRACHEOSTOMY CARE
Preventing Water from Entering Tracheostomy - Following are some of the ways you can prevent water from entering your tracheostomy:
Suctioning - The following equipment is needed for suctioning your tracheostomy tube.
Following is the procedure for suctioning:
If secretions are thick, squeeze normal saline into the tracheostomy tube. With your non-dominant "dirty" hand, use the ambu-bag to give deep breaths and then repeat the suction technique. This will help "thin" secretions.
You may suction your mouth after your tracheostomy tube has been suctioned. Never suction your mouth and then your tracheostomy.
Cleaning the Suction Catheter - Suction catheters must be cleaned after each use to keep to prevent putting bacteria into your tracheostomy when you use the catheter. The following equipment is needed to clean the suction catheter:
Following is the procedure for cleaning the suction catheter:
Throw catheter away if secretions cannot be removed, or if catheter becomes cloudy or cracks.
Cleaning the inner cannula - The inner, removable tube of the tracheostomy tube is the inner cannula. Secretions must be removed from the inner cannula to keep the tracheostomy tube open. Following is the procedure for cleaning the inner cannula tube:
Tracheostomy with Dressing
The inner cannula needs to be cleaned at least once a day (cleaning every 8 hours is best). Skin around the tracheostomy can also be cleaned at the same time. Do not leave a regular inner cannula out more than 10-15 minutes while cleaning. Inner cannula can be stored in a clean jar with a lid.
Cleaning connecting tubes on suction machine - These tubes must be cleaned to prevent too many bacteria from getting into the suction equipment. Clean daily with soap and water; rinse well with hot water.
Cleaning drainage bottle - The drainage bottle must be emptied once a day. Clean it with soapy water and rinse it well with hot water.
Pulmonary Functions Tests (PFT's) is a series of breathing maneuvers and measurements that assess the function of the lung, diagnose pulmonary abnormalities and assess the response of the lungs to medications.
Vital Capacity is the amount of air that can be forcibly expelled from the lungs after breathing in as deeply as possible.
Phrenic Pacemaker is an implantable diaphragmatic phrenic nerve stimulator that provides support for patients with chronic ventilatory insufficiency whose diaphragm, lungs, and phrenic nerves have little function.
PoinTIS Copyright © 2009 the Louis Calder Memorial Library of the University of Miami/Jackson Memorial Medical Center, all rights reserved.