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RECOMENDACIONES DE CUIDADOS AL ALTA

TRACHEOSTOMY

  • From the moment of discharge, you must remain on 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 the operation. While your tracheostomy is open, you will not be able to speak. Later, your doctor will tell you when you can plug the cannula to speak. Avoid dusty, smoky and noisy environments. Normal, slightly soft diet. Plenty of fluids to thin secretions.
  • The cannula should be cleaned and changed according to 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, since there are tracheal stomas that may have a tendency to close very quickly. If you have a lot of secretions, without needing to change your tube more than once a day, you can remove your inner cannula whenever you need to clean it and replace it once it is clean.
  • If you are instructed to do so, you should always have your inner cannula fully prepared before you start changing your cannula, as some tracheal stomas may tend to close very quickly.
  • If you are instructed not to change the cannula, you should remove the inner cannula (liner) daily or whenever necessary, clean it and replace it inside the other one. You should breathe humidified air for the first few days, either through a humidifier or by doing a Turkish bath in your bathroom with the shower.
  • In case of partial obstruction of the cannula, 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. Monitor 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 operation, you should 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.