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RECOMENDACIONES DE CUIDADOS AL ALTA

TOTAL LARYNGECTOMY

  • From the moment of discharge you must remain at home rest for seven days after surgery. Avoid physical exertion, such as lifting weights for a month. You may not drive any kind of vehicle or use dangerous machinery until one month after surgery. Avoid dusty, smoky and noisy environments. Normal, slightly soft diet. Plenty of fluids to thin the secretions.
  • The cannula should be cleaned and changed according to the instructions received. It is usually changed daily, with subsequent cleaning of the tracheostoma of secretions and antisepsis of its bed. Then a clean and prepared cannula is placed with all its accessories. It is advisable to always have your replacement cannula completely prepared before starting the cannula change; it should not be too long without a cannula, since the stoma may have a tendency to close somewhat and in that case it may be difficult to reinsert the cannula. If you have a lot of secretions, without the need to change the cannula more than once a day, you can take out the internal cannula whenever you need to clean it and put it back in once it is clean.
  • You should breathe humidified air for the first few days, either through a humidifier or by taking a steam bath in your bathroom with the shower. In case of partial obstruction of the cannula, remove the cannula and then try to breathe humid air by making efforts to cough and expel the mucus plug. It is normal to stain the saliva with blood but in small amount and occasionally, not continuously.
  • Watch for blood in the mouth.
  • Watch your breathing, if it is difficult or noisy, you should go to the emergency room. For pain take the indicated painkillers. In case you were taking aspirin or other antiplatelet medication before the procedure, consult with your doctor about the time to restart the treatment.
  • In case of fever higher than 38° go to the emergency room or contact your doctor, as well as in case of severe pain, bleeding or difficulty breathing.