Tracheostomy care

EBM Guidelines
Aug 28, 2023 • Latest change Aug 16, 2024
Antti Mäkitie and Timo Atula

Table of contents

Extract

  • A cuffed tube is used during the first days after the formation of a tracheostomy and if required by mechanical ventilation or problems with aspiration. Otherwise, an uncuffed tube is used.
  • In outpatient treatment, a cannula without a cuff is used, except for a respiratory paralysis patient who needs a respirator and has their own nurse.
  • As a rule, the tube has both an inner and an outer cannula. In long-term care, the outer cannula is changed about every month. The inner cannula is cleaned several times a day if necessary.
  • The first tube change may be challenging and is performed in specialized care. After a channel has been formed within 2 to 4 weeks the tube change is usually easily performed also in the primary care.

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Air humidity, Cannula, Cuff, Cuffed tube, Decannulation, Fenestrated tube, Humidification, Humidifier, Mechanical ventilation, Mucus, Nebuliser, Otorhinolaryngology, Respiration, Stomas, Suction, Suction catheter, Trachea, Tracheostomy, Tracheostomy tube, Uncuffed tube, Ventilator Weaning, Ventilators, Mechanical, Z43.0, Z93.0, Z99.0