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Research ArticleSymposium Papers

Long-Term Care of the Patient With a Tracheostomy

Joseph S Lewarski
Respiratory Care April 2005, 50 (4) 534-537;
Joseph S Lewarski
Inogen Incorporated, Goleta, California.
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Abstract

An increasing number of technology-dependent patients are sent home for long-term home-management of stable chronic illness. With a patient who is going to undergo tracheotomy, patient-education (for the patient and his/her caregivers) should begin early (before the tracheostomy, if possible), should be individualized to the patient, and should include basic airway anatomy, medical justification for the tracheostomy, tube description and operation, signs and symptoms of respiratory and upper-airway distress, signs and symptoms of aspiration, suctioning technique, tracheostomy tube-cleaning and maintenance, stoma-site assessment and cleaning, cardiopulmonary resuscitation, emergency decannulation and reinsertion procedures, tube-change procedure, equipmentand-supply use and ordering procedures, and financial issues. There should be a scheduled follow-up plan with the attending physician. A combination of process-validation, through additional research, and expert consensus may be needed to standardize the long-term care of patients who undergo tracheostomy.

  • tracheostomy
  • tracheotomy
  • home-care
  • caregiver
  • training
  • equipment
  • airway care
  • suctioning

Footnotes

  • Correspondence: Joseph S Lewarski RRT, Inogen Incorporated, 120 Cremona Drive, Suite B, Goleta CA 93117. E-mail: jlewarski{at}inogen.net.
  • Joseph S Lewarski RRT presented a version of this paper at the 20th Annual New Horizons Symposium at the 50th International Respiratory Congress, held December 4–7, 2004, in New Orleans, Louisiana.

  • Copyright © 2005 by Daedalus Enterprises Inc.
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Respiratory Care: 50 (4)
Respiratory Care
Vol. 50, Issue 4
1 Apr 2005
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Long-Term Care of the Patient With a Tracheostomy
Joseph S Lewarski
Respiratory Care Apr 2005, 50 (4) 534-537;

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Joseph S Lewarski
Respiratory Care Apr 2005, 50 (4) 534-537;
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Keywords

  • tracheostomy
  • tracheotomy
  • home-care
  • caregiver
  • training
  • equipment
  • airway care
  • suctioning

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