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A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
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Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
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A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
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Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
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The Rigid Tube as an Alternative in Controlling the Problematic Airway
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Increased Intervals Between Paediatric Tracheostomy Tube Changes: Is it a Safe Technique?

Pheemaphol Samornpitakul1, Warisra Watcharaporn1, Dhave Setabutr1,2

  • 1Chulabhorn International College of Medicine, Thammasat University, Khlong Nueng, Pathum Thani 12120 Thailand.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|June 5, 2023
PubMed
Summary

Changing pediatric tracheostomy tubes every three months is safe, with a low complication rate of 6.48%. This 90-day interval is practical, especially in resource-limited settings for pediatric tracheostomy care.

Keywords:
Developing countryPediatricProlongedTracheostomy

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Area of Science:

  • Pediatric Otolaryngology
  • Respiratory Medicine
  • Medical Device Safety

Background:

  • Tracheostomy tubes require regular changes to prevent complications.
  • Optimal tracheostomy tube change intervals in pediatric patients are not well-established.
  • Resource limitations may influence tracheostomy care practices.

Purpose of the Study:

  • To assess the safety of a 3-month tracheostomy tube change interval in children.
  • To determine the incidence of tube-related complications with this interval.
  • To evaluate the feasibility of this interval in resource-limited settings.

Main Methods:

  • Retrospective observational chart review (2018-2021) at a tertiary medical center.
  • Analysis of 108 pediatric tracheostomy tube changes.
  • Assessment of complications in relation to the interval between changes.

Main Results:

  • The average interval between tracheostomy tube changes was 87 days.
  • A tube-related complication rate of 6.48% was observed.
  • Complications included respiratory infections, accidental decannulation, and granulation tissue formation.

Conclusions:

  • A 90-day interval for pediatric tracheostomy tube changes does not increase complication rates.
  • This interval is a practical consideration for resource-limited healthcare settings.
  • Further research may validate extended tracheostomy tube change intervals in pediatric populations.