What is Downsizing?
Originally published on May 30, 2010 P.T. asks, "What is the purpose of downsizing?" Answer: The purpose of downsizing is to allow the patient to do more breathing around the tube, rather than through the
Discharge Instructions for the Patient with a Tracheostomy
Originally published on December 1, 2010 G.J. asks, "When patients with a tracheostomy are discharged home, what do they need to know to take care of themselves?" Answer: Patients and families who are being discharged
Trach Dislodgement
Originally published on July 23, 2011 B.L. asks, "How does tracheostomy dislodgement happen?" Answer: Dislodgement can be one of the most serious complications of having a tracheostomy. Dislodgement can be even more serious than complete decannulation;
Optimal Tube Length
Originally published on September 13, 2011 P.S. asks, "How do I know that the tube is the correct length?" Answer: It is important to ensure that the tube is neither too short nor too long.
Capping a Trach
Originally published on October 2, 2011 J.D. asks, "I heard that there are many benefits for capping a trach. Can you explain?" Answer: Yes, capping a tracheostomy tube can provide many benefits; the primary benefit is
Stomal Wounds
Originally published on January 1, 2011 T.C. asks, "How do wounds around the stoma occur; and when they do, how should they be treated?" Answer: Stomal erosion occurs as a result of either inward or
Custom Trachs
Originally published on January 11, 2011 B.R. asks, "What if a patient needs a trach that is shorter or longer than the standard trach, because of his individual anatomy?" Answer: A custom trach can be
Dangers with Caps and Speaking Valves
Originally published on February 2, 2011 T.A. asks, "If a patient uses a cap or a valve in order to speak, should the cuff be inflated or deflated?" Answer: The purpose of the cuff is
Cleaning Supplies
Originally published on March 14, 2011 Family member D.S. asks, "Medicare only supplies one cleaning kit per day, and we were told to clean the trach 2-3 times per day. Is it OK to reuse
Trach Progression
Originally published on April 26, 2011 B.F. asks, "What is the usual progression of trachs? My mom got her trach after being in the ICU on a ventilator. Now she is off the ventilator...so what