Tracheostomy Care
Daily tracheostomy nursing care, cuff management, and suctioning
Emergency tracheostomy box must be at bedside at all times. Ensure spare inner cannula, dilators, and suction available.
Rajan Mehta, 75M · ICU-1
Tube: Portex PUC Cuffed, 8.0mmInserted: 20 Jun 2026 (day 3)Cuff: 22 cmH₂OSuction needs: Frequent (thick purulent secretions)
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Assess airway patency and ventilation
Suction via tracheostomy — only as needed (sterile technique)
Inner cannula cleaned/replaced (every shift)
Stoma site inspection — erythema, granulation, leakage
Stoma dressing changed (pre-cut dressing, water-based antiseptic)
Tube holder / tape — check security, skin integrity beneath
Cuff pressure checked — maintain 20–25 cmH₂O (cuff manometer)
Secretion colour and amount documented
Tracheostomy emergency box at bedside — confirmed
Humidification circuit — check water level and temperature