GUIDELINES FOR
TRACHEOSTOMY CARE
Presented by Franci Crockett & Jennifer Hancock
Objectives:
Educate medical staff about:
Anatomy of Trach Tube
Types of Trach Tube
Indications for Tracheotomy
Complications with Tracheostomies
Equipment required @ bedside
How to clean a trach and stoma properly
Tracheal Downsizing
Decannulation
Troubleshooting
Anatomy of a Trach Tube
① Face Plate
② Hub
1
2
3
③ Outer
Cannula
④ Pilot
Balloon
⑤ Cuf
4
5
1. Faceplate :
Extends from the
sides of the outer
tube and has holes
for Velcro strap or
neck ties to go
around the neck
2. Hub:
Used to attached to
ventilator/ballard
4. Pilot balloon:
External balloon that
allows the cuff to be
inflated/deflated
Can tell if the cuff is
or is not based on its
appearance
5. Cuff
Creates a seal
between wall of
trachea and outside
tube
3. Outer cannula
Holds tracheostomy
open
Allows positive
pressure ventilation
Connects to face
plate
Prevents aspiration
Anatomy
1. Obturator:
Continued
Used only for
insertion of trach
tube
Decreases tissue
trauma
Place in a bag at the
head of the patient’s
bed
1
In the event
of emergent
decannulatio
n, the staff
can
Shile
y
Anatomy Continued
2. Inner Cannula
Fits inside the
outer cannula
Lock keeps it in
place while
coughing
May be
disposable or
reusable
1
2
Shile
y
Cuffed Tube
Used to Obtain closed circuit for ventilation
Inflate cuff to MLT or 20-30 cmH2O
Check cuff pressure at least twice a day:
@TMCP with every vent check
Deflate while using Speaking Valve
(Anatomy cont)
Cuffless Trach Tubes
Inner cannula may be disposable or
reusable
Used when patients are close to
decannulation
Patient able to talk and eat without
speaking valve
Tracheostomy Tubes
Diferent brands/types
Shiley
Bivona...