Intitle;''live View/-axis''

care will be oriented to avoid complications such as accidental decannulation and cannula obstruction by a mucus plug.

Some of this care are:
1.cura every 12 hours so will clean the stoma thus preventing maceration and infection:
-observe the appearance of the stoma
watching for signs of infection, clean the area with saline

-dry thoroughly with a disinfectant-impregnated
-cover the area with a small pair bib to protect from moisture and tracheal secretions
-change attachment straps; the tape know that it is fair enough if we can pass a finger between the tape and neck
-neck to keep the tape clean and dry to avoid infection and irritation

2.Change cannula once a week:
-first secretions aspire
-hyperextending the patient's neck using a runner below the shoulders to better expose the tracheostomy.
-a person holding the cannula while another cuts the ribbon
-lubricate the cannula
-spray lubricant used to remove the tube and enter the new softly, without pushing hard, but once placed
-check the status of the patient: color, air intake ..
-tie fastening tape and place a protective dressing, while the other person holds the cannula.


Recommendations:

1.Siempre we have a patient with a tracheostomy will have material prepared for emergencies in an accessible and close to the patient, this material would be:
-cannulas replacement of the same number of carrying and a lower number.
-scissors to cut the ribbons.
-tube endotracheal tube smaller than the suction-

2.Es important that whenever you switch the cannula is made between two people. 3.The
cannula change is usually done every 7 days although sometimes may require fewer days. 4.Siempre
should we believe we will make the cure.