Tracheostomy care guidelines Portale （气管造口护理指南Portale）.pdf

Tracheostomy Care Guidelines Nepean Hospital April 2005 Third draft Developed by Hailey Carpen, ICU Liaison CNC, April 2005 TABLE OF CONTENTS Tracheostomy care guidelines 3 Types of Tracheostomy 3 Types of Tracheostomy tubes4 Types Of Tracheostomy Tubes Used In Nepean Hospital 5 Components Of A Tracheostomy Tube 7 Bedside Equipment8 Immediate Post Operative Care9 Potential Problems 11 General Guidelines for the Care of Patient with a Tracheostomy 13 Guidelines for Tracheal Suctioning 16 Guidelines for Changing a Tracheostomy Tube22 Care Of Passy Muir Speaking Valve30 References 32 Final draft May 2005 2 C:\Documents and Settings\stronga\Desktop\Tracheos.doc Tracheostomy Care Guidelines Description A tracheostomy is the formation of an opening into the trachea usually between the second and third rings of cartilage. Indications for Tracheostomy o Facilitate weaning from mechanical ventilation by decreasing anatomical dead space. o Prevention / treatment of retained tracheo-bronchial secretions. o Chronic upper airway obstruction o Bypass acute upper airway obstruction Types of Tracheostomy The tracheostomy may be temporary or long term, and may be formed electively or as an emergency procedure. A temporary tracheostomy can be formed when patients require long term respiratory support or are unable to protect their own airways. A tracheostomy tube will be inserted to maintain the patency of the airway. This can be remo