How to Do a Routine Trach Change | Cincinnati Children's

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Patient Education Video series for Trach Care

[@kaytlinhowardmangelson7300]

That baby is so chill! And I'm I over here playing Moana songs while trying to keep her hands out of the way!

[@Zaloomination]

I like how they're ready to dial 911 in an instant

[@chantelbrown4752]

He's super cute, reminds me of my patient

[@BaleshNTP]

When swapping out trachs, I've seen RTs first insert an "exchanger" tube in the lumen of the trach which extends to the trachea and hangs out proximal opening of the trach. The old trach is removed and a new trach inserted while the exchange tubing is in place. Only when the new trach is inserted does the exchanger get removed. This ensures a patent airway during the procedure.

[@3od3boood1]

Where are the gloves!!!!

[@Mairi.2]

If this is done in the home,if this video is for the purpose of showing that, gloves are very, very often not used. Hands would be washed, as with any medical handling of a patient. At home people are, possibly more often then not, suctioned as in a clean procedure as opposed to sterile, including not using gloves. What a gorgeous baby he is!! and I hope he is doing well😊

[@Kara-x9p]

Smooth operators

[@gauravkashyap7878]

Can you tell me what gel can i use for change tube

[@decoysk]

soo sad to see this on such young children ! I hope all is ok for him ! PRAYERS !

[@kaytlinhowardmangelson7300]

decoysk you would be amazed at how well these kids do! Our baby was trached at 8 1/2 months and has thrived! It may seem strange but her childhood is as normal as it is BECAUSE of her trach, never in spite of it

[@andrewcbuensalida]

pray to who? the god that allowed this to happen?

[@blackqweenmars]

The baby is so cute and looks distressed it makes me sad

[@mobilefirsttimehehe6710]

i feel bad to this little angel, base on what i i research that they say those person undergo to tracheotomy last their lives for only months cause of infection 😭😭😭 please let this child survive 😔😔😔

[@habibbi77]

You might be thinking of a ventilator, lots of kids live active lives with just a trach.

[@Hsandov8175]

No gloves!!?? What are they thinking !

[@jessicadelin523]

Ummm..... where's the sterile gloves....?

[@jamiecox2817]

Jessica Delin it’s not a sterile procedure

[@xokizza]

and if it's the parents they aren't required to wear gloves with their child

[@taraparsons6172]

parents can just wash hands and use hand sanitizer they do not need gloves

[@nurseb4404]

@@jamiecox2817 its a sterile procedure, can lead to infection

[@kimgodlewski835]

We were told we weren’t required to wear them as we are the parents doing the change. Even in the hospital with our training we were required to wear during a trach change, nurses yes, us no.

[@mobilefirsttimehehe6710]

my gosh that looks painful 😭😭😭

[@habibbi77]

The suctioning is uncomfortable but once it's healed it's probably not painful. He doesn't look too distressed.

[@blackqweenmars]

It does

[@TonniecaJanelle]

Excuse me but why aren't they wearing gloves.trach care should be a sterile procedure. who is responsible for making this video?

[@christihendricks2584]

It's clearly a home setting and the parents are doing the procedure. Sterile technique is not necessary if the kiddo is not immunocompromised and nobody is sick. Medical equipment is expensive and families often struggle to cover costs.