More FAQ
Q. Why is a tracheostomy performed?
A tracheostomy is usually done for one of three reasons: (1) to bypass an obstructed upper airway; (2) to clean and remove secretions from the airway; and (3) to more easily, and usually more safely, deliver oxygen to the lungs.
Q. Will my child be able to swim with a tracheostomy?
Some kids with trachs do swim. For kids who can cap their tubes (don’t have an obstructed upper airway), it’s a bit less risky. However, swimming with a trach is not recommended. The danger of drowning, near drowning (brain damage), and aspiration pneumonia is just too great. When a child has a trach the water goes directly into the lungs. There is no gag reflex to prevent aspiration.
Q. How do I prevent water from getting into the trach when bathing?
Water is a big concern with a tracheostomy because the trach bypasses the bodies gag reflex and water can go directly into the lungs. A speaking valve, Humid-Vent and/or a trach mask can help protect the tube. For showering there are several different brands of shower shield to protect the trach. Lay the child on his/her back to shampoo. Use shallow water and never leave a child alone in the tub.
Q. Help! My Child keeps pulling out his/her trach tube. What can I do?
Caring for a child with a tracheostomy may cause anxiety. Try not to let the child see that you are anxious. Try not to make a big deal about the trach, particularly if the child touches the trach tube. They will learn very quickly that by touching or pulling the trach tube, they receive attention, which tends to reinforce the behavior. Once children develop a pattern of pulling on the trach tube, it is more difficult to control, especially for young children and children with developmental disabilities. Make sure the trach ties are not too loose and tied with a double knot. Avoid velcro ties which are easier to remove.
There are also separate ties that can help secure tube such as the Trache Tite Tracheostomy tube holder, which can be hard to find. Some parents have made their own holders.
Q. The Air Compressor is so loud, what can I do about the noise?
Most people eventually get use to the “white noise” of the compressor. Try placing the compressor on a towel to help absorb some of the noise and also protect the floor from water. Some people have placed the compressor in a nearby closet or an insulted box, but be sure that compressor gets enough air circulation so that it doesn’t overheat. Check with your equipment supply company before making any modifications to equipment.
Q. What are the implications if my child gets a cold or flu?
A tracheostomy will bypass the normal upper respiratory
structures, and therefore there is a higher chance that she can both spread and receive microorganisms (virus, bacteria, etc) more easily. Frequent hand washing is the best defense against colds and flu. Also see infection control tips.
Q. My child has been decannulated. What do I do with all the left-over equipment and supplies?
- Post the items to our Facebook group (Donations only, selling or buying equipment and/or supplies is not permitted).
- Selling items on eBay or craigslist
- Find a local group that will accept medical donations.
- Ask your child’s doctor that did your trach care has others needing supplies.
- Check with local visiting nurse/hospice programs
- Local college with a nursing & surgical tech program might need supplies for teaching.
- Local church or mission groups might accept supply donations.
- There might be a parent-to-parent support program for families with special healthcare needs who know of families who need equipment.
Aaron's Tracheostomy Page 