A tracheostomy is an opening (made by an incision) through the neck into the trachea (windpipe). A tracheostomy opens the airway and aids breathing. A tracheostomy may be done in an emergency, at the patient’s bedside or in an operating room. Anesthesia (pain relief medication) may be used before the procedure. Depending on the person’s condition, the tracheostomy may be temporary or permanent.

1. Tracheostomy Removal And
Replacement

2.  What is a tracheostomy?
 A tracheostomy is an opening (made by an incision) through the neck into
the trachea (windpipe). A tracheostomy opens the airway and aids
breathing.
 A tracheostomy may be done in an emergency, at the patient’s bedside or
in an operating room. Anesthesia (pain relief medication) may be used
before the procedure. Depending on the person’s condition, the
tracheostomy may be temporary or permanent.

3.  A tracheostomy may be performed for the following conditions:
 Obstruction of the mouth or throat
 Breathing difficulty caused by edema (swelling), injury or pulmonary (lung)
conditions
 Airway reconstruction following tracheal or laryngeal surgery
 Airway protection from secretions or food because of swallowing
problems
 Airway protection after head and neck surgery
 Long-term need for ventilator (breathing machine) support

4. What is a tracheostomy tube?
 A tracheostomy (trach) tube is a small tube inserted into the tracheostomy to
keep the stoma (opening) clear.
 Tracheostomy tubes are available in several sizes and materials including semi-
flexible plastic, rigid plastic or metal.
 The tubes are disposable or reusable.
 They may have an inner cannula that is either disposable or reusable. The
tracheostomy tube may or may not have a cuff.
 Cuffed trach tubes are generally used for patients who have swallowing
difficulties or who are receiving mechanical ventilation.
 Non-cuffed trach tubes are used to maintain the patient’s airway when a
ventilator is not needed.

5. Tracheotomy care:
 Caring for a tracheotomy mostly includes suctioning to prevent occlusions
and replacing supplies.
 Because of the lack of filtering and humidifying by the nose and the
ineffective cough mechanism, there is a buildup of secretions.
 Suctioning is only performed when clinically necessary because there are
many potential risks.
 Risks also include atelectasis, or collapsing lung tissue from high suction
pressure, and so pressure is limited to 80–120 mm Hg.
 Risks also include tissue damage. The suction catheter is inserted no more
than 1 cm past the length of the tube to avoid contact with trachea tissue.
 Risks also include infection.

6. Tracheostomy Tube Insertion:
 Hold it in place and cut it approximately 5 cm or 2 inches from the stoma.
This catheter will keep the stoma open. Try to insert the old tracheostomy
tube over the suction catheter. Always hold the catheter to prevent
migration into the trachea (windpipe).

7. Decannulation:
 Decannulation refers to the removal of the tracheostomy tube once it is
no longer required.
 Your doctor will determine when decannulation is appropriate and this
can be conducted very easily in the office.
 Before it is determined that you no longer require your tracheostomy
tube, your doctor may conduct trials to determine how you tolerate
breathing through the nose and mouth again.
 There trials are usually done via two methods: weaning or capping.
 Often times, capping will be conducted at the end of a weaning trial to
ensure you are ready to return to breathing through your upper
respiratory tract.

8. Why Spero?
Spero Healthcare has evolved around the idea of coexisting with
hospital and consultants for a patient who is ill enough to need
additional health care, but stable enough to be discharged from
the hospital. Understanding the current need and challenges
faced by the patient,
Spero healthcare have come up with systematic approach to
address all the above challenges by developing technology
solution, professional enhancement through training, integration
of services through dedicated healthcare management and
robust processes.

9. Services Offer
By Spero
• Physician (Doctor)assistant services
• Physiotherapy services
• Healthcare assistant services (24 Hours)
• Home Healthcare equipment
• Nurse Services
• Medical Transportation
• Respiratory Services
• Lab Service

10. Spero Healthcare
Office No.5 Bhosale House Apts, Karve Road.Pune-411004
WebSite
www.sperohealthcare.in