Subglottic suctioning can significantly reduce secretions above the cuff to reduce the risk of microaspiration and potential aspiration pneumonia. It can reduce costs and improve patient quality of life.
Tracheal stenosis can occur for various reasons and result in a tracheostomy tube. It can also result from the tracheostomy tube procedure or from complications of the cuff.
Tracheostomy and feeding tubes are often placed concurrently.
The 2019 novel corona virus COVID-19 pandemic has resulted in an increase in patients intubated and use of mechanical ventilation. The United States and globally, we are likely to see an increase in tracheostomy as well, as patients may have difficulty weaning and require longer periods of time on a vent. COVID-19 also has implications for healthcare workers, as there are shortages with workers becoming ill from the virus. Infection control is paramount in controlling the outbreak and protecting patients, healthcare workers and the community
Cuffed versus cuffless tracheostomy. Explains the purpose of a cuffed tracheostomy and when to deflate the cuff or switch to a cuffless tracheostomy tube.
Complications can occur if the tracheostomy tube cuff is not managed properly. Ensure proper cuff inflation by measuring cuff pressures with cuff manometry.
Early mobilization is an important part of the rehabilitation process for individuals with tracheostomy in order to strengthen the patient and mobilize secretions.
Cough techniques can aid with secretion removal and eventual decannulation.
Respiratory muscle strength training can be beneficial for patients with tracheostomy and mechanical ventilation to improve cough, swallowing and vent weaning.
Deflating the cuff of the tracheostomy tube has many benefits, but must be done with caution.
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