A 13-year-old child is on a home ventilator. The parents called because the ventilator is malfunctioning and the child has increasing respiratory distress. You should disconnect the ventilator and apply a tracheostomy collar.
What is tracheostomy care?
- Moisture on the inside of the lungs keeps mucus thin. Thin mucus from the lungs can be coughed up more easily.
- When mucus is thick and sticky, it is more challenging to cough it out.
- On rare occasions, it may stick to the airways' walls. If mucus is left in the lungs, it might proliferate germs that can cause lung infections.
- If your child has a tracheostomy, the mucus may potentially get stuck inside the tube ("trach"). A child may have trouble breathing if their mucus buildup prevents air from reaching their lungs.
- When that happens, the trach tube needs to be changed. It takes both hydration and humidification to maintain the mucus' thinness and moisture.
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