衛教資訊
Tracheotomy wound care 如何照護氣管切開傷口
Tracheotomy wound care 如何照護氣管切開傷口
2024/1/2
Tracheotomy adaptations for patients
- Obstruction from upper airway: causes include obstructive tumors, foreign bodies, and pharyngeal edema;
- To much mucus secretion making patients coughing involuntarily;
- Breathing difficulty caused by coma, unconsciousness, respiratory muscle paralysis;
- Respiratory diseases.
Purposes of tracheotomy wound care
- Clean mucus around tracheotomy wound to maintain airway opened.
- To prevent infection from occurring.
Preparations
- Cleaned forceps
- 2% of H2O2
- 0.9% of sterilized NaCl
- Better-iodine solution
- Several sterilized cotton swabs
- Several V. Gauzes
- Suction equipment
Procedures for tracheotomy wound care
- Wash hands and put on gloves.
- Sputum suction before wound care.
- place patients in a proper position: check their cuff and secure their neck strap (one to two fingers wide).
- Take the V. Gauzes off and observe to see if there is mucus secretion coming out of the wound.
- Wet the cotton swabs with 0.9% NaCl; clean patients’ wound outward to remove mucus and sputum clusters.
- To swab and clean the tracheotomy wound with Better-iodine, circuit around the wound from inside out.
- Wait for 30 seconds for sterilizing, then swab the wound again with 0.9% NaCl to clean out better-iodine.
- Pick up V gauze with forceps and cover the tracheotomy wound.
Cautions
- When the neck trap gets dirty, replace it with a clean one. Adjust the trap, with an ideal adaptability that fits one-to-two fingers in between, when using neck string to tie a knot next to patients’ neck.
- Change the dressing and observe patients’ tracheotomy wound at least once a day. Do visit our outpatient department when there is erythematous change around the wound or when you observe any abnormal discharged from the wound.
- Please return to OPD for changing the non-metal (plastic) tracheotomy set.
- 于博芮、胡文郁、胡月娟、周守民、黃翠媛、吳韻淑、羅筱芬、簡淑慧、鄭春秋、柳秋芳、陳麗糸、劉向援、郭素娥、劉桂芬、鄭麗珠、王雪娥、凃秀妮、陳怡如、林金絲…李惠玲等(2018).呼吸系統疾病病人之護理,於劉雪娥總校閱,成人內外科護理(七版,965-1159頁),華杏。
- 張峻瑋、廖予昊、廖俊綱、盧昱彤、許巍鐘、柯政郁、陳俊男(2021).氣管切開術在COVID-19疫情時代的角色與相關照護建議.台灣耳鼻喉頭頸外科雜誌,56(3),141-146。https://doi.org/10.6286/jtohns.202109_56(3).141
製作單位:護理部第一呼吸照護中心(RCC1) 編碼:HE-10043-E
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若有任何疑問,請不吝與我們聯絡
電話:(04) 22052121 分機 12880
中國醫藥大學附設醫院暨體系院所