Tracheostomy care policy and procedure

Tracheostomy Care Nursing Procedure. Ensure a sterile field by placing the sterile towel under the tracheostomy site. Assemble the sterile materials in the sterile field and don the sterile gloves. Clean the external portion of the indwelling tube with sterile gauze with hydrogen peroxide (depending on hospital policy) and discard thereafter.

How long do you can do tracheostomy?

A tracheostomy usually takes 20 to 45 minutes to perform. The surgeon or other health care professional will make a cut through the lower front part of your neck and then cut into your windpipe. It can take up to two weeks for a tracheostomy to fully form, or mature. During this time, you will not be able to eat normally and will likely receive nutrients through a feeding tube.

When should a tracheotomy be performed?

A tracheotomy is a type of surgery that opens the windpipe, also known as the trachea. It is usually performed in emergency situations when the patient cannot receive sufficient air in the lungs. It may also be performed when mucus or other types of secretions block the patient’s windpipe.

How much does a tracheotomy procedure cost?

For patients without health insurance, a tracheostomy and associated hospital stay typically costs about $10,000-$150,000 or more, depending on the reason for the tracheostomy, the underlying medical condition, complications, the amount of time required on a ventilator and the length of hospital stay.

What are the pros and cons of a tracheotomy?

Tracheostomy Technique

OST OST PDT PDT
Pros Cons Pros Cons
No need for bronchoscopy or access throu May require more health-care workers in Less bleeding-no need for planned cauter Not possible when significant pretrachea
Entry in the trachea may be quicker with Aerosolization may occur during cautery Generally performed at bedside in the IC Need for bronchoscopy
ETT cuff pushed caudally remains inflate Negative pressure capability may not be May be performed by nonsurgically traine Potential loss of airway because of acci

Jan 20 2021

When is a tracheotomy necessary?

A tracheostomy is sometimes needed if you’re unable to breathe normally because of an underlying health condition or a blocked airway. A tracheostomy can deliver oxygen to the lungs if you can’t breathe normally. This is known as respiratory failure.

When should the tracheostomy tube be removed?

A tracheostomy may be only a short term requirement for patients and should be removed as soon as it is no longer needed . Judging the timing of removal of the tube (decannulation) can be difficult, and the patient may need to spend several days or even weeks progressing towards this step.

Can a tracheostomy be reversed?

The tracheostomy is reversible, depending on the reason for the procedure. Following removal of the larynx, the top-most end of trachea (windpipe) is permanently sewn to the neck skin.

Why do people get a tracheostomy?

A tracheostomy is usually done for one of three reasons: to bypass an obstructed upper airway; to clean and remove secretions from the airway; to more easily, and usually more safely, deliver oxygen to the lungs.