Before you prepare for tracheotomy, can you talk about it?

Hello: tracheotomy nursing can attract secretions at any time, observe whether the intubation is unobstructed, and pay attention to the nature of secretions. If the secretion is sticky, you can strengthen the intubation drip or dilute the sputum by atomizing inhalation through the intubation. If there is scab in the trachea, take the inner tube in time, clean and disinfect it before putting it back. In addition, the gauze pad should be replaced 2-4 times a day, and the time for taking out the inner tube and brushing teeth should not be too long, otherwise the secretion in the outer tube will dry up and the inner tube cannot be put in again. If there is no special need, the outer tube should not be replaced within one week after operation. Because the fistula sinus has not yet formed, it is not easy to put it back after taking it out. If replacement is needed, the tracheotomy bag should be prepared, the suture should be removed to open the incision and the outer tube should be replaced. Pay attention to adjust the tightness of the sleeve strap so as to put a finger between the strap and the neck. When it is too loose, the intubation can come out of the incision when coughing, and when it is too tight, the patient is uncomfortable. Patients with subcutaneous emphysema after operation should be treated promptly after the emphysema subsides. Long-term catheterization should be done before extubation.

If there is granulation in the trachea, it should be taken out first and then blocked, and extubation is best in the morning for observation during the day.