June 17, 2012

Tracheostomy Handbook Part 1

The hospital gave my mom and I a hand book about tracheostomy's to read over. I wanted to share the important and interesting parts.

A tracheostomy also called a stoma or trach is a small incision made in the neck into the trachea. A tracheostomy tube keep the stoma open so air can enter the trachea and lungs. There are two main reasons for a trach: bypass a blockage or narrowing of the airway, need for long term ventilation. Hannah is trached to bypass the vocal cords and for long term ventilation

Bathing: You should never leave your child unattended in te tub or out. Take extra precaution of what going near the trach. When washing a child's hair with a trach, tilt her head back so that water doesnt run toward the trach tube.

Babysitters: Extra care, monitoring and training is required when you are caring for a child with a trach. Other children may feel resentful of the attention you give to this child(great). You should try and have 2 other people who are trained in your child's care. Only me and my mom will be trained.

Parking: You will be able to apply for a handicap parking pass! which will be important on cold winter days or rainy days.  http://www.sparc.bc.ca/parking-permit

Things to Avoid:

  • Smoking, aerosol sprays, perfume - Tracheostomy provides a direct route to the lungs. Avoid spraying or smoking anything in the same room as the child
  • Pets - long haired pets and caged birds can cause problems from the fur and feathers.
  • Playtime things - Small toys or parts, sand, swimming pools, splashes of water
  • High populated areas - avoid people who are sick or have any kind of colds 

Routine Care

Washing your hands is required before practicing any of the following procedures!
  • Suctioning - Helps remove secretions that can build up in the airways.
  • Skin care and tie changes - Ties insure trach tube cant be removed. Skin care decreases the risk of rashes and other skin problems.
  • Humidification - adds moisture to the air that your nose would create on its own.
  • Changing Trach - removing existing trach tube from stoma and placing a new clean one.

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