Health Information
Tracheotomy wound care 如何照護氣管切開傷口
Tracheotomy wound care 如何照護氣管切開傷口
2024/1/2
Tracheotomy adaptations for patients
- Obstruction from upper airway: causes include obstructive tumors, foreign bodies, and pharyngeal edema;
- To much mucus secretion making patients coughing involuntarily;
- Breathing difficulty caused by coma, unconsciousness, respiratory muscle paralysis;
- Respiratory diseases.
Purposes of tracheotomy wound care
- Clean mucus around tracheotomy wound to maintain airway opened.
- To prevent infection from occurring.
Preparations
- Cleaned forceps
- 2% of H2O2
- 0.9% of sterilized NaCl
- Better-iodine solution
- Several sterilized cotton swabs
- Several V. Gauzes
- Suction equipment
Procedures for tracheotomy wound care
- Wash hands and put on gloves.
- Sputum suction before wound care.
- place patients in a proper position: check their cuff and secure their neck strap (one to two fingers wide).
- Take the V. Gauzes off and observe to see if there is mucus secretion coming out of the wound.
- Wet the cotton swabs with 0.9% NaCl; clean patients’ wound outward to remove mucus and sputum clusters.
- To swab and clean the tracheotomy wound with Better-iodine, circuit around the wound from inside out.
- Wait for 30 seconds for sterilizing, then swab the wound again with 0.9% NaCl to clean out better-iodine.
- Pick up V gauze with forceps and cover the tracheotomy wound.
Cautions
- When the neck trap gets dirty, replace it with a clean one. Adjust the trap, with an ideal adaptability that fits one-to-two fingers in between, when using neck string to tie a knot next to patients’ neck.
- Change the dressing and observe patients’ tracheotomy wound at least once a day. Do visit our outpatient department when there is erythematous change around the wound or when you observe any abnormal discharged from the wound.
- Please return to OPD for changing the non-metal (plastic) tracheotomy set.
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電話:(04) 22052121 分機 12880
HE-10043-E
電話:(04) 22052121 分機 12880
HE-10043-E
中國醫藥大學附設醫院暨體系院所