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The surgical process involving the creation of an opening in the neck in order to place a tube into a patient’s windpipe is known as Tracheostomy. The tube is inserted through a cut in the neck below the vocal cord, allowing air to enter the lungs.

In certain cases, a tracheostomy is permanent.


There are Several reasons to conduct a tracheostomy, however all involve restricted airways. It may be done during an emergency when your airway is blocked, or when a disease or other problems makes normal breathing impossible.


  • Damage to the thyroid gland in the neck
  • Erosion of the trachea
  • Lung Collapse (Scar tissue in the trachea)
  • Air trapped in the tissue under the skin of the neck
  • Misplacement/displacement of the tracheostomy tube


  • Wash your hands thoroughly with soap and water every time you touch it
  • Put on gloves
  • Suction the trach tube
  • If your tube has an inner cannula, remove it
  • Hold the inner cannula over the basin and pour hydrogen peroxide over and into it
  • Clean the inner cannula with a pipe cleaner or a small brush
  • Dry the inside and outside of the inner cannula
  • Re-insert it and lock it in place
  • Inspect the skin around the stoma for redness, hardness, tenderness or a foul smell
  • Do the dressing again

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