TRACHEOSTMY TUBE 7.0

How TRACHEOSTMY TUBE 7.0 Works

• The Tracheostomy Tube 7.0 is a medical device designed to establish and maintain an open airway for patients who have difficulty breathing or require long-term ventilation. It works by creating a direct pathway into the trachea (windpipe), bypassing any obstructions or limitations in the upper respiratory tract. The '7.0' refers to the tube's inner diameter in millimeters, a critical measurement for airflow.
• The tube itself is typically made of a biocompatible material like PVC or silicone, chosen for its flexibility and minimal tissue reactivity. This reduces the risk of irritation and inflammation within the trachea. The tube consists of several key components: the shaft, which is inserted into the trachea; the flange (or neck plate), which rests against the patient's neck and secures the tube with straps; and the connector, which allows attachment to a ventilator or other respiratory equipment.
• Insertion of the tracheostomy tube is usually performed surgically, either as an open procedure or percutaneously (through a small incision). Once inserted, the tube creates a direct route for air to enter and exit the lungs. This is particularly beneficial for patients with conditions like vocal cord paralysis, tumors in the airway, or severe trauma to the face or neck.
• For patients on mechanical ventilation, the tracheostomy tube connects directly to the ventilator, delivering precise amounts of oxygen and pressure to support breathing. In cases where patients can breathe spontaneously but require airway protection (e.g., from aspiration), the tracheostomy tube allows for easier suctioning of secretions from the airway, preventing them from entering the lungs and causing pneumonia.
• Some tracheostomy tubes have an inner cannula, which is a removable inner tube that can be easily cleaned or replaced to maintain patency (openness) of the airway. This helps prevent mucus plugs from blocking the tube. Also, some tubes have a cuff, which is an inflatable balloon that seals the space between the tube and the tracheal wall. When inflated, the cuff prevents air leakage around the tube and reduces the risk of aspiration. However, prolonged cuff inflation can cause tracheal damage, so it's important to manage cuff pressure carefully.
• The size and type of tracheostomy tube are carefully selected based on the patient's age, size, and specific medical needs. Regular monitoring and care are essential to prevent complications such as infection, bleeding, or tracheal stenosis (narrowing of the trachea). Proper humidification of the inspired air is also crucial to prevent drying of the tracheal mucosa and mucus plugging.

Possible side effects of Tracheostomy Tube 7.0 may include: * **Immediate Post-operative Complications:** Bleeding, pneumothorax (collapsed lung), subcutaneous emphysema (air trapped under the skin), injury to the esophagus or trachea, aspiration. * **Tube Obstruction:** Mucus plugging, blood clots, or kinking of the tube. * **Infection:** Local infection at the stoma site, tracheitis (inflammation of the trachea), pneumonia. * **Granulation Tissue Formation:** Formation of excess tissue around the stoma. * **Tracheomalacia:** Softening of the tracheal cartilage. * **Tracheal Stenosis:** Narrowing of the trachea. * **Tracheoesophageal Fistula:** Abnormal connection between the trachea and esophagus. * **Swallowing Difficulties:** Dysphagia. * **Speech Impairment:** Difficulty speaking or changes in voice. * **Stoma Site Complications:** Skin breakdown, irritation, or excessive drainage. * **Accidental Decannulation:** Unintentional dislodgement of the tracheostomy tube. * **Delayed Complications:** Tracheoinnominate fistula (rare but life-threatening erosion into the innominate artery).

• Tracheostomy tubes are medical devices, not medications, so there is no 'dose' to miss. Tracheostomy tubes are used to maintain an open airway. If the tube becomes dislodged or blocked, it's a critical situation requiring immediate action. Follow your healthcare provider's instructions for emergency care, which may include having a spare tube available, knowing how to reinsert it, and when to call for medical help. Regular cleaning and maintenance are crucial to prevent complications.

• Keep TRACHEOSTMY TUBE 7.0 away from the reach of children and pets.
• Store TRACHEOSTMY TUBE 7.0 at room temperature.

• **Prioritize Hygiene:** Always wash your hands thoroughly with soap and water before and after touching the tracheostomy tube or the stoma site. This simple step significantly reduces the risk of infection.
• **Regular Cleaning is Key:** Clean the inner cannula of the tracheostomy tube as per your healthcare provider's instructions. Typically, this involves removing the inner cannula, cleaning it with saline solution, rinsing, and drying it completely before reinserting it. Consistent cleaning prevents mucus buildup that can obstruct airflow.
• **Humidification Matters:** Ensure adequate humidification, especially in dry environments. Use a humidifier or a heat-moisture exchanger (HME) to prevent the drying of secretions, which can lead to mucus plugging and difficulty breathing. Proper humidification keeps the airway moist and comfortable.
• **Secure the Tube:** Always ensure the tracheostomy tube is securely fastened with appropriate ties or straps. Regularly check the tightness of the ties to prevent accidental dislodgement of the tube, which can be a life-threatening emergency. Two fingers should easily slide under the strap. Change the ties if they become soiled or wet.
• **Emergency Preparedness:** Keep a spare tracheostomy tube, obturator, lubricant, and suction machine readily available. In case of accidental decannulation (tube dislodgement) or blockage, having these supplies at hand can be life-saving. Make sure you and your caregivers are trained on how to reinsert the tube properly.
• **Suctioning Technique:** Learn and practice proper suctioning techniques to remove secretions from the airway. Avoid deep suctioning, which can cause trauma to the trachea. Suction only when needed and for a short duration to prevent oxygen desaturation.
• **Communication Strategies:** Explore alternative communication methods since speaking may be difficult with a tracheostomy tube. Consider using writing, communication boards, or speaking valves (if appropriate) to facilitate effective communication.
• **Skin Care Around the Stoma:** Keep the skin around the stoma clean and dry. Use a mild, non-irritating cleanser and pat the area dry gently. Apply a protective barrier cream if needed to prevent skin breakdown from secretions.
• **Dietary Considerations:** Modify your diet as needed to prevent aspiration. Soft, easily swallowable foods are generally recommended. Consult with a speech therapist or dietitian for personalized dietary recommendations.
• **Regular Medical Check-ups:** Schedule regular follow-up appointments with your healthcare provider to monitor the tracheostomy site and address any potential complications. Early detection and management of issues can prevent serious problems.

• A tracheostomy tube does not directly interact with food. The tube is inserted into the trachea (windpipe) to assist with breathing. However, swallowing difficulties are common after a tracheostomy. If you have a tracheostomy tube, consult with your doctor, speech therapist, or dietitian for personalized guidance on safe swallowing techniques and appropriate food textures. They can assess your swallowing function and recommend strategies to prevent aspiration (food or liquid entering the lungs).
• Strategies may include modifying food textures (e.g., pureeing, thickening liquids), practicing specific swallowing maneuvers, and adjusting posture during meals. Your healthcare team will provide tailored recommendations based on your individual needs and swallowing ability.