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Doctor insights on: How Often Do You Suction A Child With A Trach At Home

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What is the difference between closed and in-line suctioning of tracheostomy?

What is the difference between closed and in-line suctioning of tracheostomy?

Same: In an effort to reduce infections in ventilated patients, the use of a closed or in- line suctioning system has been utilized. This reduces the chances of introducing bacteria either by the person suctioning or from the outside environment. The drawback is that the catheters used are usually plastic, and can cause tracheal irritation, injury, and bleeding. Softer rubber catheters are less traumati. ...Read more

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When suctioning 9mo's nose, didn't notice that there was some water in the syringe after cleaning. It went up baby's nose. Amoeba risk? I'm scared.

When suctioning 9mo's nose, didn't notice that there was some water in the syringe after cleaning. It went up baby's nose. Amoeba risk? I'm scared.

Nigleria: You must be referring to Nigleria, in your fear. Yes, most cases have been associated with sinus irrigation. The risk for your baby is minute. But definitely throw away the auction bulb, it's unnecessary. ...Read more

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Can saline drops/spray hurt my 4month old baby? What about suctioning nose?

Can saline drops/spray hurt my 4month old baby? What about suctioning nose?

Yes/yes: This is the preferred method of managing nasal congestion in the first months of life. You can squirt it in and let it wash debris into the stomach. Little babies don't have the sneeze power to sneeze stuff out and most can't mouth breathe effectively until 6-8 mo to bypass the congestion. ...Read more

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What could you do if no secretions were obtained when you suctioned a tracheostomy?

Double check: Make sure suction working properly and catheter going where it is supposed to. Also if patient is dehydrated secretions may become tenacious and or minimal. May then want to consider nebulising with saline to loosen secretions then attempt auctioning again. ...Read more

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What is the main purpose of trachea suctioning?

What is the main purpose of trachea suctioning?

Keep clear airways: It is simply to keep the airways clear for breathing, and to prevent aspiration. ...Read more

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What nursing management is done for endotracheal/tracheal suctioning?

What nursing management is done for endotracheal/tracheal suctioning?

Small catheters: Nurses use small plastic catheters inserted down endotracheal tubes to clear airways of secretions. ...Read more

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Is the tracheostomy a risky thing to do?

Is the tracheostomy a risky thing to do?

Depends on airway: If securing the airway is difficult, due to mass or severe airway alteration, then it can be quite dangerous and need to be done emergently or without general anesthesia. If already intubated or with straightforward anatomy, shouldn't be a problem. Surgical risks include bleeding, infection, damage to neck structures. ...Read more

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Explain to me the procedure of a tracheostomy?

Explain to me the procedure of a tracheostomy?

Hole in trachea: This is a surgical procedure where an opening is made in the front of the neck into the trachea to make it easier and safer to help a patient breathe using a ventilator (breathing machine). Often, this comes after the patient has used a tube going in the mouth and into the trachea. A tracheostomy tube avoids the vocal cords and the easy-to-damage area below them, and so is safer long-term. ...Read more

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What would be a reason to do a tracheostomy?

Varies: Mechanical obstruction of the airway is one (e.g. Tumor, swelling). The other common one is patients on long term ventilator support (respirator) who may benefit from better clearing of secretions and earlier liberation from the ventilator. ...Read more

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What happens when water enters a tracheostomy?

Coughing: It is the same as if water just "goes down the wrong way." the patient will cough and clear the water. ...Read more

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How is cpr done for someone with a tracheostomy?

Much easier : Previous CPR requires chest compression and breathing for the patient. While breathing is still important, the emphasis now is on chest compression. Having tracheostomy diminishes the need for actually breathing for the patient as chest compression achieves the same with positive and negative airflow that come with compression. ...Read more

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How many years can one sleep in 2-3hr intervals, up to 6hrs total/nite, before signific health risk? Even with occas nurse help, sleep is same (trachs

How many years can one sleep in 2-3hr intervals, up to 6hrs total/nite, before signific health risk? Even with occas nurse help, sleep is same (trachs

Forever?: It is very likely that some people are naturally "biphasic" sleepers, meaning that they naturally sleep best in two separate segments. History shows that humans largely slept this way until the advent of electricity, and some cultures still sleep this way. My advice is to listen to your body. Whichever type of sleep you function best off of is the best for you. ...Read more

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Can a tracheostomy make it difficult to eat?

Yes: Temporary swallowing dysfunction can be seen in patients with tracheostomy. Most facilities have a process to screen for this problem. Speech therapists are often consulted to assist with improved swallowing. ...Read more

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Can I take oral tablets if I have a tracheostomy?

Yes.: Tracheostomy will not affect your ability to swallow solid foods after a few days from the surgery. ...Read more

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What do you have to do to take care of a tracheostomy?

What do you have to do to take care of a tracheostomy?

Keep it clean: Keep the area where the tube meets the skin clean, at times suctioning may be needed. Have the tube changed every 4 to 6 weeks. Watch for signs of infection. ...Read more

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What are the possible complications of living with a tracheostomy?

Many: The tracheostomy can have many problems, they can fall out, have granulumos, get infected, erode the airway cartilage, etc. But, if cared for appropriately by the patient and placed appropriately by the surgeon, they are very easy to handle. If one needs one they shouldnt let the potential problems dissuade them. They are live saving. ...Read more

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What are the differences between a crycothyrotomy and a tracheostomy?

Which part opened: to create air way. In emergency air way is created quickly by opening between thyroid and cricoid cartilages but in they tracheotomy area is dissected opening is made below second tracheal cartilage , takes more time need more skills but safe from developing tracheal stenosis. ...Read more

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I recently had a tracheostomy. I now have cipd. Is it ok for me to fly ?

Check with your MD: You mean chronic obstructive pulmonary disease (COPD) ? . In general people who had surgery for cancer of Larynx travel freely like any one , in your case due your lung condition your doctor may not allow you with out additional medical help ( air ambulance ) Speak to your doctor before you undertake air travel . ...Read more

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What are possible complications of having a tracheostomy tube?

What are possible complications of having a tracheostomy tube?

Infection / bleeding: Tracheostomy tubes are not suggested without a very good reason (usually because the patient cannot breathe without a machine and won't recover that ability for some time). Like all artificial openings into the body, they can let germs in resulting in infection of the tube site or of the lungs. Very rarely, the tube can rub a hole into the neck blood vessels and major bleeding can result. ...Read more