Tracheostomy Care in the ICU (Uncomplicated/Routine)

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Percutaneous Tracheostomy-“Shiley Cuffed”

1. Tracheostomy Tube Features Outer and Inner Cannula.
2. Black sutures are often placed on the plastic phalange to prevent accidental dislodgement in addition to the Trach “ties”/ Velcro
3. RN to remove black sutures on POD#7 unless otherwise specified by the TBICU team or operating physician
4. Check the skin daily. If ulceration, cellulitis, or significant drainage is present, discuss with physician

 

Open Tracheostomy-“Shiley Cuffed”

1. Tracheostomy Tube Features Outer and Inner Cannula.
2. Black sutures are often placed on the plastic phalange to prevent accidental dislodgement in addition to the Trach “ties”/ Velcro
3. RN to remove black sutures on POD#7 unless otherwise specified by the TBICU team or operating physician
4. Blue sutures are often placed on the TRACHEAL RINGS to facilitate replacement of the tracheostomy in the event of accidental dislodgement.
5. If the Blue sutures have not been removed by Post Op Day 14, review the Operative/Procedure Note for instructions. If no instructions given, discuss with physician.
6. Check the skin daily, if ulceration, cellulitis, or significant drainage is present discuss with physician.