Cleaning metal or silver tracheostomy tubesCCleaning metal or silver tracheostomy tubesCleaning metal or silver tracheostomy tubesEnglishRespiratoryChild (0-12 years);Teen (13-18 years)Lungs;TracheaRespiratory systemNon-drug treatmentCaregivers Adult (19+) Hospital healthcare providersNA2017-06-29T04:00:00ZReshma Amin, MD, FRCPC, MSc;Faiza Syed, BHSc, RRT;Tuyen Tran, RRT000Flat ContentHealth A-Z

 

 

Cleaning metal or silver tracheostomy tubes2919.00000000000Cleaning metal or silver tracheostomy tubesCleaning metal or silver tracheostomy tubesCEnglishRespiratoryChild (0-12 years);Teen (13-18 years)Lungs;TracheaRespiratory systemNon-drug treatmentCaregivers Adult (19+) Hospital healthcare providersNA2017-06-29T04:00:00ZReshma Amin, MD, FRCPC, MSc;Faiza Syed, BHSc, RRT;Tuyen Tran, RRT000Flat ContentHealth A-Z<figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach_metal_tubes_EN.jpg" alt="Metal tracheostomy tubes, flange, cannulas, obturator and twill ties" /> </figure> <p>Metal and silver tracheostomy tubes are not used very often anymore, but some children need them for specific reasons. The ear, nose and throat (ENT) surgeon will decide what type of tube your child needs.</p><h3>Before you start</h3><p>Gather the following equipment and supplies:</p><ul><li>tracheostomy cleaning brush (toothbrushes or mouth care sponges dedicated to tube cleaning are also acceptable)</li><li>pipe cleaners (slightly longer than the tracheostomy tube)</li><li>70 per cent isopropyl alcohol solution in a container with a lid</li><li>sterile distilled water</li><li>clean towel</li><li>clean dry empty container with a lid (for clean tracheostomy tubes), labelled with the child's name and date</li><li>emergency tracheostomy equipment (including a spare tracheostomy tube that is the correct size for your child and a tracheostomy tube that is one size smaller)</li><li>clean container for spare tracheostomy tube storage.</li></ul><h3>Cleaning a metal tracheostomy tube</h3><ol><li>Wash your hands.</li><li>Rinse the metal tracheostomy tube and obturator with a strong stream of cold water. Cold water loosens the secretions and makes them easier to remove.</li><li>Scrub the metal tracheostomy pieces with a cleaning brush, toothbrush or sponge to remove any tarnish. Metal tracheostomy tubes are made with a high level of silver metal; brisk scrubbing helps to clean the tube and prevent metal tarnish.</li><li>Insert a pipe cleaner into the metal tracheostomy tube, firmly rotating it throughout the length of the tracheostomy tube to remove any residue. Confirm that the tube is clean by holding it up to a light source.</li><li>Repeat step 4 as needed. Discard the pipe cleaner(s) after use. If you use a reusable tracheostomy brush, make sure it is thoroughly rinsed, disinfected and allowed to air dry in a clean area.</li><li>Inspect the tube. If there are any dents or any signs of damage, discard and replace the tube. Metal tubes dent easily and dented tubes can compromise your child’s airway.</li><li>Fully immerse the clean rinsed cannula and obturator into the 70 per cent isopropyl alcohol solution for 10 minutes. Make sure the container is covered. As with all chemicals, keep the alcohol solution out of reach of children.</li><li>Remove the cannula and obturator from the alcohol solution. Handle the tube by the flange to avoid touching any parts that will go into the airway. Rinse each piece vigorously with sterile water. All alcohol solution must be rinsed from metal tubes and ties. (Alcohol will irritate any bodily tissue.)</li><li>Attach the new tracheostomy tube ties.</li><li>Store the clean tracheostomy tube, cannula and obturator in a container covered with a lid. Make sure all parts are completely dry before sealing the container.</li></ol><div class="caution"><h3>​​Precau​tions</h3><ul><li>If your child uses a metal tracheostomy tube, tell security personnel at the airport before your child goes through the metal detector.</li><li>Never clean metal tracheostomy tubes with hydrogen peroxide, as it can damage them.</li></ul></div> <a class="btn btn-primary" href="https://www.aboutkidshealth.ca/trachvent">Return to trach-vent learning hub</a> Cleaning metal or silver tracheostomy tubesTruehttps://www.aboutkidshealth.ca/Article?contentid=2920&language=Englishhttps://www.aboutkidshealth.ca/Article?contentid=2918&language=English

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