Tracheostomies
0.0 / 5
- Created by: evepoag
- Created on: 18-05-22 13:17
What are the 3 types of tracheostomy tubes?
Cuffed
Uncuffed
Fenestrated
Uncuffed
Fenestrated
1 of 19
Describe a cuffed tracheostomy tube
When inflated, a balloon provides a seal in the trachea
Air does not pass through the upper airway, but through the tube
Used for ventilated patients or patients at risk of aspiration
Air does not pass through the upper airway, but through the tube
Used for ventilated patients or patients at risk of aspiration
2 of 19
Describe an uncuffed tracheostomy tube
Does not have a balloon to inflate
Allows air to move through and around the trachea tube
Used in long-term patients who require suction to clear secretions - an effective cough is required
Allows air to move through and around the trachea tube
Used in long-term patients who require suction to clear secretions - an effective cough is required
3 of 19
Describe a fenestrated tracheostomy tube
It has holes in the outer cannula allowing air to pass through vocal cords in upper airway - patient can speak
Should not be given to patients at high risk of aspiration
Should not be given to patients at high risk of aspiration
4 of 19
What factors influence the choice of trachea tube?
1. Respiratory function - eg: if on ventilator, will need a cuffed tube
2. Abnormal airway anatomy - eg: obese patients need longer tubes
3. compromised airway/weaning - eg: weaning patient from cuffed to fenestrated
4. wish to speak
5.obstructed airway
2. Abnormal airway anatomy - eg: obese patients need longer tubes
3. compromised airway/weaning - eg: weaning patient from cuffed to fenestrated
4. wish to speak
5.obstructed airway
5 of 19
What is a special function that can come with a trachea tube?
Supraglottic suction - allows us to aspirate secretions that build up that can cause pneumonia
6 of 19
Why is an inner and outer cannula beneficial?
The inner cannula can be removed and changed without removing the entire outer cannula
7 of 19
How do you change a trachea tube?
1. remove tube and clean stoma
2. use an absorbent dressing around the new tube to ensure it stays dry
3. re-insert the tube and replace tapes around neck to secure
2. use an absorbent dressing around the new tube to ensure it stays dry
3. re-insert the tube and replace tapes around neck to secure
8 of 19
If cuff pressure drops too low, what can happen?
Aspiration of secretions, eventually pneumonia
9 of 19
When should cuff pressure be checked?
Twice a day
After re-insertion
Suspected cuff leak
After re-insertion
Suspected cuff leak
10 of 19
How do you suction a trachea?
1. remove speaking valve or inner tube (if present)
2. insert appropriate catheter as far as recommended
2. insert appropriate catheter as far as recommended
11 of 19
How do you close-suction a trachea and when is this used?
Used for ventilated patients or frequent suction is needed
1. ventilator stays in place during suctioning
2. there is a tube ready for suctioning
3. insert catheter into tube and remove afterward
1. ventilator stays in place during suctioning
2. there is a tube ready for suctioning
3. insert catheter into tube and remove afterward
12 of 19
How do you clean the inner cannula of a trachea tube?
1. remove speaking valve
2. remove inner cannula
3. if disposable, throw away. if not, clean it
4. use sterile saline and clean outside with non-woven gauze
5. use foam-based cleaning swab to clean inside
6. re-insert cannula
2. remove inner cannula
3. if disposable, throw away. if not, clean it
4. use sterile saline and clean outside with non-woven gauze
5. use foam-based cleaning swab to clean inside
6. re-insert cannula
13 of 19
Why is humidification important?
Humidification usually happens in the nose and the trachea is preventing the use of the nose
If patients are on oxygen, this will dry them out
If patients are unwell, they can become dehydrated
If patients are on oxygen, this will dry them out
If patients are unwell, they can become dehydrated
14 of 19
Describe the emergency tracheostomy management
1. look, listen, feel
2. if not breathing, call for help and apply high flow oxygen to both face and trachea
3. remove speaking cap and inner cannula
4. try to insert a suction catheter and deflate cuff (if present)
5. if catheter cannot be inserted...
2. if not breathing, call for help and apply high flow oxygen to both face and trachea
3. remove speaking cap and inner cannula
4. try to insert a suction catheter and deflate cuff (if present)
5. if catheter cannot be inserted...
15 of 19
part 2
5. remove trachea
6. call resus team
7. start CPR, using bag-valve-mask on face, and covering the stoma
6. call resus team
7. start CPR, using bag-valve-mask on face, and covering the stoma
16 of 19
When is verbal communication possible with a trachea?
With a speaking valve mask placed on an uncuffed or fenestrated tube
17 of 19
What must you ensure you do before placing a speaking valve mask?
The cuff is deflated
Otherwise, you can cause airway occlusion
Otherwise, you can cause airway occlusion
18 of 19
What is the key difference between a tracheostomy and a larygngectomy?
In a trachea, there is two potential airways - through the upper airway, and through the trachea stoma
In a largyngectomy, there is one ONE airway - through the larynx stoma
In a largyngectomy, there is one ONE airway - through the larynx stoma
19 of 19
Other cards in this set
Card 2
Front
Describe a cuffed tracheostomy tube
Back
When inflated, a balloon provides a seal in the trachea
Air does not pass through the upper airway, but through the tube
Used for ventilated patients or patients at risk of aspiration
Air does not pass through the upper airway, but through the tube
Used for ventilated patients or patients at risk of aspiration
Card 3
Front
Describe an uncuffed tracheostomy tube
Back
Card 4
Front
Describe a fenestrated tracheostomy tube
Back
Card 5
Front
What factors influence the choice of trachea tube?
Back
Related discussions on The Student Room
- Post graduate nursing degree choices »
- Where can I take my Nursing degree? »
- Adult or children nursing degree »
- Nursing at Canterbury Christ Church University »
- The Difference between Adult Nursing, Child Nursing and Mental Health Nursing »
- Adult nursing vs child nursing »
- Theatre (Surgical) Nursing »
- Current nursing students: What's your dream career or area to work in? »
- Adult or child nursing? »
- Nursing Apprenticeship »
Similar Other resources:
0.0 / 5
5.0 / 5 based on 1 rating
3.5 / 5 based on 2 ratings
5.0 / 5 based on 1 rating
3.0 / 5 based on 2 ratings
3.5 / 5 based on 2 ratings
4.5 / 5 based on 6 ratings
3.0 / 5 based on 1 rating
4.0 / 5 based on 1 rating
4.0 / 5 based on 1 rating
Comments
No comments have yet been made