A Short Message from Co-author Linda L. Morris, PhD, APN, CCNS, FCCM
A Short Message from Co-author Linda L. Morris, PhD, APN, CCNS, FCCM
Welcome to Trach Resource
Originally published on December 1, 2009Welcome to Trach Resource. This blog is intended to be a networking and educational resource for the professional who works with tracheostomy patients. By sharing our experiences, we can better
First Trach Change
Originally published on November 30, 2011 There is very little research regarding when it is safe to do the first tracheostomy tube change. Commonly, the first tube change is done between post-op day 7-14.
Complications During Tube Replacement
Originally published on June 23, 2010 C.L. asks, "What are the chances of esophageal or tracheal rupture, or subcutaneous emphysema with reinsertion of a dislodged tracheostomy tube?" Answer: I have never encountered esophageal nor tracheal
Positioning for Trach Reinsertion
Originally published on July 30, 2010 C.L. asks, "If inadvertent decannulation occurs, what is the best patient positioning for reinsertion?" Answer: Supine positioning with neck hyperextension is ideal for reinsertion. However, this may not be
Frequency of Tube Changes
Originally published on November 23, 2010 J.C. asks, "How often should a tracheostomy tube be changed? Answer: Tracheostomy tubes should be routinely changed on a regular basis to prevent infection and other complications; and in
Bloody Secretions
Originally published on October 5, 2010 B.L. asks, "What should I do if the secretions become bloody? Am I suctioning too much?" Answer: Secretions can become bloody because of tracheal irritation. And yes, this can
Emergency Equipment
Originally published on October 12, 2010 Nurse C.D. asks, "What type of emergency equipment should I have at the bedside?" Answer: One must always be prepared for an emergency, and the key is to have
Your Most Valuable Tool
Originally published on October 31, 2010 B.W. asks, "What does it mean if I start to have trouble passing the suction catheter?" Answer: Meeting resistance upon passage of a suction catheter usually means one of
Water or Saline?
Originally published on May 6, 2010 A respiratory therapy student asks, "What am I supposed to use to inflate the cuff of a Bivona TTS trach? I've heard they should be inflated with water, but