Tracheostomy: What to do in an emergencyTTracheostomy: What to do in an emergencyTracheostomy: What to do in an emergencyEnglishRespiratoryChild (0-12 years);Teen (13-18 years)TracheaTracheaNon-drug treatmentCaregivers Adult (19+)NA2017-08-09T04:00:00ZTiffany Yam, RN;Laura Slingerland, RN;Reshma Amin, MD, FRCPC, MSc;Faiza Syed, BHSc, RRT;Evan Propst, MD, FRCSC, MSc;Sara McEwan, RN, MN8.0000000000000061.4000000000000862.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn how to identify and respond to the signs of respiratory distress if there is a blockage in your child's tracheostomy tube.</p> <p>Many children with tracheostomies use the tracheostomy tube as their main airway. If the tube becomes obstructed (blocked) or dislodged, it is important to know how to respond safely and quickly.</p> <h2>How can a tracheostomy tube become blocked?</h2> <p>Blockages can happen when:</p> <ul> <li>secretions from your child’s lungs become thick and form a mucus plug</li> <li>a foreign body gets stuck in the tube</li> <li>the tube itself is kinked or in the wrong position.<br></li> </ul> <p><strong>A blocked tube is an emergency and can lead to respiratory distress (severe breathing difficulties) if it is not cleared quickly.</strong></p><h2>Key points</h2> <ul> <li>Early signs of respiratory distress (breathing difficulties) include coughing, anxiety and whistling or other new noises from the tube.</li> <li>Late signs of respiratory distress include retractions, pale or blue skin around the eyes and mouth and rattling on your child's chest or back.</li> <li>If there is a problem with your child's tracheostomy tube, check your child's breathing, try to suction the tube and then call 911.</li> <li>When leaving the home with your child, even for a short time, always take all necessary equipment and supplies in a medical travel bag.</li> </ul><h2>What should I do if there is a problem with my child’s tracheostomy tube?</h2> <p>There are three main steps to follow. Please do them in order.</p> <h3>1. Do a quick check</h3> <ul> <li>Check if your child is awake and responds to your voice or your touch. </li> <ul><li>Look: Is the chest rising and falling?</li> <li>Listen: Can you hear breathing sounds from your child’s tracheostomy tube, nose or mouth?</li> <li>Feel: Can you feel air moving from the tracheostomy tube, nose or mouth?</li></ul> </ul> <h3>2. Try to suction the tracheostomy tube</h3> <ul> <li>Extend your child’s neck to open the airway.</li> <li><a href="/Article?contentid=2469&language=English">Suction the tracheostomy tube</a> to the depth you were shown during training. If you cannot insert the suction catheter into the tracheostomy tube, change the inner cannula if there is one. If there is no inner cannula, <a href="/Article?contentid=2467&language=English">change the tracheostomy tube</a>.</li> <li>After suctioning, if the tube is still blocked, change the tracheostomy tube. If you cannot put the tracheostomy tube back in, try placing the half size smaller tracheostomy tube.</li> </ul> <h3>3. Call 911</h3> <ul> <li>Call 911 if your child still shows signs of respiratory distress after suctioning and changing the tracheostomy tube.</li> <li>If you are unable to insert the new tracheostomy tube or the half size smaller tracheostomy tube, ask someone to call 911 while you block the stoma with your finger and start mouth-to-mouth resuscitation.</li> </ul>
Trachéostomie : que faire en cas d’urgencesTTrachéostomie : que faire en cas d’urgencesTracheostomy: What to do in an emergencyFrenchRespiratoryChild (0-12 years);Teen (13-18 years)TracheaTracheaNon-drug treatmentCaregivers Adult (19+)NA2017-08-09T04:00:00ZTiffany Yam, RN;Laura Slingerland, RN;Reshma Amin, MD, FRCPC, MSc;Faiza Syed, BHSc, RRT;Evan Propst, MD, FRCSC, MSc;Sara McEwan, RN, MN8.0000000000000063.0000000000000Health (A-Z) - ProcedureHealth A-Z<p>Apprenez-en davantage sur la manière de reconnaître et de réagir à des symptômes de détresse respiratoire si le tube de trachéostomie de votre enfant se bloque.<br></p><p>La principale voie respiratoire de plusieurs enfants ayant subi une trachéostomie est le tube de trachéostomie. S’il est obstrué (bloqué) ou s’il se déplace, il est important de savoir réagir de façon sécuritaire et rapide.</p><h2>De quelle façon un tube de trachéostomie peut-il se bloquer?</h2><p>Les blocages peuvent se produire lorsque :</p><ul><li>des sécrétions provenant des poumons de votre enfant s’épaississent et forment un bouchon;</li><li>un corps étranger reste pris dans le tube;</li><li>le tube lui-même est plié ou placé au mauvais endroit.</li></ul><p><strong>Un tube bloqué constitue une urgence et peut mener à de la détresse respiratoire (de graves difficultés à respirer) s’il n’est pas débouché rapidement.</strong><br></p><h2>À retenir</h2><ul><li>Les symptômes précurseurs de détresse respiratoire (éprouver de la difficulté à respirer) comprennent de la toux, de l’anxiété ainsi que la perception d’un sifflement ou autres sons inhabituels provenant du tube.</li><li>Les symptômes tardifs de détresse avancée comprennent des rétractions, une peau pâle ou de couleur bleutée autour des yeux et de la bouche, et des bruits de crécelle dans la poitrine ou le dos de votre enfant.</li><li>Si vous observez un problème avec le tube de trachéostomie de votre enfant, vérifiez sa respiration, essayez d’aspirer le tube et communiquez avec le 911.</li><li>Lorsque vous quittez la maison avec votre enfant, même pour une courte période de temps, ayez toujours en votre possession l’ensemble de l’équipement et des fournitures nécessaires dans une trousse médicale.</li></ul> <h2>Que devrais-je faire si un problème se présente avec le tube de trachéostomie de mon enfant?</h2><p>Vous devez procéder en trois étapes. Veuillez les accomplir dans l’ordre.</p><h3>1. Faites une vérification rapide</h3><ul><li>Vérifiez que votre enfant est réveillé et qu’il répond à votre voix ou à votre toucher.</li><ul><li>Observez : Est-ce que sa poitrine se gonfle et se dégonfle?</li><li>Écoutez : Pouvez-vous entendre des bruits de respiration provenant du tube de trachéostomie de votre enfant, de son nez ou de sa bouche?</li><li>Touchez : Pouvez-vous sentir l’air entrer et sortir de son tube de trachéostomie, de son nez ou de sa bouche?</li></ul></ul><h3>2. Essayez d’aspirer le tube de trachéostomie</h3><ul><li>Étendez le cou de votre enfant afin de libérer ses voies respiratoires.</li><li>Aspirez le tube de trachéostomie jusqu’à la profondeur que l’on vous a enseignée lors de votre formation. Si vous ne pouvez pas insérer le cathéter d’aspiration à l’intérieur du tube de trachéostomie, changez la canule interne si elle est présente. Si aucune canule d’aspiration n’est présente, changez le tube de trachéostomie.</li><li>Après l’aspiration, si le tube est toujours bloqué, changez le tube de trachéostomie. Si vous ne pouvez pas remettre le tube en place, essayez de placer un autre tube d’une demi-taille plus petite.</li></ul><h3>3. Appelez au 911</h3><ul><li>Appelez au 911 si votre enfant présente toujours des symptômes de détresse respiratoire après avoir aspiré et changé son tube de trachéostomie.</li><li>Si vous êtes incapable d’insérer un nouveau tube de trachéostomie ou un tube d’une demi-taille plus petite, demandez à quelqu’un d’appeler au 911 pendant que vous bloquez la stomie avec votre doigt et que vous commencez les manœuvres de respiration artificielle bouche à bouche.</li></ul>

 

 

 

 

Tracheostomy: What to do in an emergency2470.00000000000Tracheostomy: What to do in an emergencyTracheostomy: What to do in an emergencyTEnglishRespiratoryChild (0-12 years);Teen (13-18 years)TracheaTracheaNon-drug treatmentCaregivers Adult (19+)NA2017-08-09T04:00:00ZTiffany Yam, RN;Laura Slingerland, RN;Reshma Amin, MD, FRCPC, MSc;Faiza Syed, BHSc, RRT;Evan Propst, MD, FRCSC, MSc;Sara McEwan, RN, MN8.0000000000000061.4000000000000862.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn how to identify and respond to the signs of respiratory distress if there is a blockage in your child's tracheostomy tube.</p> <p>Many children with tracheostomies use the tracheostomy tube as their main airway. If the tube becomes obstructed (blocked) or dislodged, it is important to know how to respond safely and quickly.</p> <h2>How can a tracheostomy tube become blocked?</h2> <p>Blockages can happen when:</p> <ul> <li>secretions from your child’s lungs become thick and form a mucus plug</li> <li>a foreign body gets stuck in the tube</li> <li>the tube itself is kinked or in the wrong position.<br></li> </ul> <p><strong>A blocked tube is an emergency and can lead to respiratory distress (severe breathing difficulties) if it is not cleared quickly.</strong></p><h2>How can I tell if there is a problem with my child’s tracheostomy tube?</h2> <p>At first, you might notice the following early signs of respiratory distress in your child:</p> <ul> <li>coughing</li> <li>anxiety or restlessness that cannot be calmed with usual comforting</li> <li>new noises from the tube or around it (for example whistling or voice sounds)</li> <li>visible secretions (mucus) in the tube</li> <li>difficulty passing the suction catheter down the tube</li> <li>increased heart rate and breathing</li> <li>lower oxygen saturation.<br></li> </ul> <p>If the issue is not resolved, you will notice the following late signs of respiratory distress:</p> <ul> <li>obvious distress in your child</li> <li>retractions (pulling in of neck or chest skin with each breath)</li> <li>pale or blue skin around the eyes, mouth, fingers and toenails</li> <li>“rattling” on the child’s chest or back</li> <li>no breathing.<br></li> </ul><h2>Key points</h2> <ul> <li>Early signs of respiratory distress (breathing difficulties) include coughing, anxiety and whistling or other new noises from the tube.</li> <li>Late signs of respiratory distress include retractions, pale or blue skin around the eyes and mouth and rattling on your child's chest or back.</li> <li>If there is a problem with your child's tracheostomy tube, check your child's breathing, try to suction the tube and then call 911.</li> <li>When leaving the home with your child, even for a short time, always take all necessary equipment and supplies in a medical travel bag.</li> </ul><h2>What should I do if there is a problem with my child’s tracheostomy tube?</h2> <p>There are three main steps to follow. Please do them in order.</p> <h3>1. Do a quick check</h3> <ul> <li>Check if your child is awake and responds to your voice or your touch. </li> <ul><li>Look: Is the chest rising and falling?</li> <li>Listen: Can you hear breathing sounds from your child’s tracheostomy tube, nose or mouth?</li> <li>Feel: Can you feel air moving from the tracheostomy tube, nose or mouth?</li></ul> </ul> <h3>2. Try to suction the tracheostomy tube</h3> <ul> <li>Extend your child’s neck to open the airway.</li> <li><a href="/Article?contentid=2469&language=English">Suction the tracheostomy tube</a> to the depth you were shown during training. If you cannot insert the suction catheter into the tracheostomy tube, change the inner cannula if there is one. If there is no inner cannula, <a href="/Article?contentid=2467&language=English">change the tracheostomy tube</a>.</li> <li>After suctioning, if the tube is still blocked, change the tracheostomy tube. If you cannot put the tracheostomy tube back in, try placing the half size smaller tracheostomy tube.</li> </ul> <h3>3. Call 911</h3> <ul> <li>Call 911 if your child still shows signs of respiratory distress after suctioning and changing the tracheostomy tube.</li> <li>If you are unable to insert the new tracheostomy tube or the half size smaller tracheostomy tube, ask someone to call 911 while you block the stoma with your finger and start mouth-to-mouth resuscitation.</li> </ul><h2>How can I prepare for an emergency if my child and I are away from home?</h2><p>When leaving home with a child with a tracheostomy, even for a short time, make sure that you have all necessary equipment with you. You can pack all the supplies in a medical travel bag.</p><p>The exact number of supplies you will need will depend on how long you plan to be away from home. In general, keep your medical travel bag stocked with enough supplies for an average day caring for your child. For full-day or multi-day trips, you will need to bring more supplies.</p><h3>What to pack in your medical travel bag<br></h3><p>Your medical travel bag will need to include:</p><ul><li>your child’s tracheostomy kit</li><li>cleaning supplies</li><li>additional equipment and supplies.<br></li></ul><p> <em>Tracheostomy kit</em></p><ul><li>Tracheostomy outer cannula with ties attached and obturator of the same size</li><li>Tracheostomy tube one size smaller with ties attached and obturator (store in a small, well-labelled clear bag)</li><li>Normal saline nebules (small, sealed tubes that are filled with saline)</li><li>Water soluble lubricant</li><li>Round-ended scissors</li><li>Clean tracheostomy gauze (dressing)</li><li>Manual suction setup: 20 mL syringe with feeding tube attached (in case the suction machine malfunctions)</li></ul> <figure class="asset-c-80"> <span class="asset-image-title">Tracheostomy kit</span><img alt="Images of emergency tracheostomy supplies listed above" src="https://assets.aboutkidshealth.ca/akhassets/_IMD_TrachChangeKit_EN.jpg" /> </figure> <p> <em>Cleaning supplies</em></p><ul><li>Gauze pads</li><li>Saline soaked cotton swabs (single use)</li><li>Saline nebules</li><li>Wet facecloth</li><li>Dry facecloth</li></ul> <figure class="asset-c-80"> <span class="asset-image-title">Tracheostomy cleaning supplies</span><img alt="Images of tracheostomy cleaning supplies listed above" src="https://assets.aboutkidshealth.ca/akhassets/_IMD_TrachCleaningKit_EN.jpg" /> </figure> <p> <em>Additional equipment and supplies</em></p><ul><li>Wound care supplies, if needed.</li><li>Suction machine, suction catheters/adjuncts and tubing</li><li>Sterile water and container</li><li>Good light source</li><li>Manual resuscitation bag with tracheostomy adaptor and the appropriate sized mask</li><li>Oximeter</li><li>Oxygen, if needed</li></ul> <figure class="asset-c-80"> <span class="asset-image-title">Additional tracheostomy equipment and supplies</span><img alt="Images of additional tracheostomy equipment listed above" src="https://assets.aboutkidshealth.ca/akhassets/_IMD_TrachEquipKit_EN.jpg" /> </figure> <h3>Important</h3><p>You will need to replace some items in your medical travel kit after a single use. Before you leave your home, always check that the travel bag contains all the supplies you need and that all machines are working.</p>https://assets.aboutkidshealth.ca/akhassets/_IMD_TrachCleaningKit_EN.jpgTracheostomy: What to do in an emergencyFalse