Advanced Applications of Home-Based Primary Care-Virtual Workshop-Tracheostomy Tube Change

Video Transcription

Video Summary

Dr. Paul Chang, a senior medical advisor, demonstrates how to change a tracheostomy tube. It is emphasized that personal protective equipment (PPE) should be worn during the procedure. The necessary equipment and supplies should be gathered before starting. The patient's neck should be exposed and suctioned if necessary. The old tracheostomy tube is removed, and the site is examined for any issues. The new tube is inserted either directly or with a curved motion, with caution if resistance is encountered. The inner cannula is inserted and secured, and the cuff is inflated. The new tube is secured with a necktie, and the procedure is assessed post-procedure. Any used materials should be disposed of, and documentation should be completed. If unable to insert the tube, repositioning and attempting a smaller tube can be tried. If unsuccessful, emergency measures should be taken. Extra assistance is recommended during this procedure, and the first tube change after initial placement should be done in a controlled environment. The frequency of tracheostomy tube changes varies, but some studies recommend every three months.

Keywords

tracheostomy tube change

personal protective equipment

patient care

procedure steps

tracheostomy tube maintenance