Communication & Swallowing Disorders Center

Print Page Print   EmailEmail   Bookmark Page Bookmark   RSS Feeds RSS

Tracheostomy Program

A tracheostomy is a surgical incision into the trachea (windpipe) in order to establish an artificial airway.

There are four main indications or goals for a tracheostomy:
  1. Assurance of an open airway
  2. Protection of the lungs
  3. Removal of secretions
  4. Long term ventilatory support

Treatment of Tracheostomy

Many patients with tracheostomies are initially apprehensive or even frightened by the opening in their necks and many rely totally on others for daily cares. The tracheostomy management program addresses the physical management of tracheostomy as well as the psychological issues associated with the artificial airway. Nursing cares are reinforced, including humidification, mobilization of secretions, and suctioning.


Daily Care of Tracheostomy

Daily cares for the tracheostomy patient are thoroughly explained. The opportunity for hands-on learning is always available until the patient and/or caregivers are confident that they can independently care for the tracheostomy tube.

Daily care includes:
  • Changing the tracheostomy dressing
  • Caring for the skin around the stoma (opening in the neck)
  • Cleaning the inner cannula
  • Changing the disposable inner cannula
  • Changing the tracheostomy tube (if instructed to do so by the physician)

Printed instructions are provided for home review and emergency contact information is given to the patient.

webmaster@mcw.edu
© 2007 Medical College of Wisconsin
Page Updated 02/26/2008