Top
10
Doctor insights on: Tracheostomy Speaking Valve

Share
1

1
When using speaking valve with new longer trach, child dropped sats to 70 and coughing. Removal of valve sats recovered. How long/ what sat dips ok PMV?

When using speaking valve with new longer trach, child dropped sats to 70 and coughing. Removal of valve sats recovered. How long/ what sat dips ok PMV?

See your ENT: This is not the type of question that can be answered on a forum such as this. Too many serious issues. This requires a thorough ENT examination including tracheoscopy and laryngoscopy. In the meantime if you child is desaturating while using the pmv - do not use it. ...Read more

See 2 more doctor answers
Dr. Ira Katz
1 doctor shared a insight

Valve (Definition)

A valve is a structure that regulates the direction of flow. The heart is a special kind of pump. It moves blood by squeezing and relaxing. There are 4 chambers and each chamber has a valve. This keeps blood from moving backwards when the heart squeezes. When a chamber squeezes it lets the blood move forward but when the chamber is relaxed it prevents the blood from ...Read more


2

2
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

See 3 more doctor answers
3

3
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

4

4
What could you do if no secretions were obtained when you suctioned a tracheostomy?

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

5

5
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

See 1 more doctor answer
6

6
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

See 2 more doctor answers
7

7
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

8

8
How do they relieve stridor in tracheostomy patient?

Trach solves: Stridor is essentially noisy breathing. Usually a tracheotomy bypasses the problem. If the person still has stridor with a trach, as the questioner asks, then there is blockage in the trach. Mucus plug, trach is too small, collapse, granuloma, etc are all common causes of tracheal obstruction. This is not usually called stridor however. The questioner may really be asking why trachs work? ...Read more

See 1 more doctor answer
9

9
How come my 16 year old daughter has laboured breathing after tracheostomy?

How come my 16 year old daughter has laboured breathing after tracheostomy?

Possible causes: I agree that there may be an obstruction, and granulation or scar tissue may form over time. Acute sudden changes are often related to mucus plugs or an infection. ...Read more

See 1 more doctor answer
Dr. James Sidman
477 doctors shared insights

Tracheostomy (Definition)

A tracheostomy is a surgical procedure to create an alternate airway by making an opening ...Read more