Can Trach Patients Eat Or Drink Water Trach care includes suctioning and cleaning parts of the tube and your skin. can you drink alcohol with a tracheostomy Advertisement TimesNewRomanPS-BoldMT Clean your hands well with soap and water or an alcohol-based hand sanitizer. from application/x-indesign to application/pdf Some of the aspects that patients should be fully aware of following removal of tracheostomy include: There are a few things the patients need to follow for the speedy recovery and when to reach for immediate medical assistance. This article does not provide medical advice. Survival was significantly shorter in patients older than 60 years at tracheostomy, with a hazard ratio of dying of 2.1 (95% confidence interval, 1.1-3.9). Rx-Regular zeta phi beta burial ritual can you drink alcohol with a tracheostomy Front Neurol. xmp.iid:ba618122-edde-4fbd-9d4c-d39225cb12ec Careers. 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Communication About End of Life for Patients Living With Amyotrophic Lateral Sclerosis: A Scoping Review of the Empirical Evidence. What Are The Pros And Cons Of A Tracheostomy? Before WebA tracheostomy is a surgical procedure in which your surgeon creates a hole through your neck and into your trachea (windpipe). The goal is to deliver oxygen to your lungs easily and safely. One patient (1.6%) was liberated from MV. Background: Blockages can be prevented by suctioning, humidifying the air, and selecting the appropriate tracheostomy tube. Major Complication In Tracheostomy & Can You Talk After A Tracheostomy Is Removed? 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See ASHAs information for professionals on the Practice Portals Tracheostomy and Ventilator Dependence page. Hopkins Medicine Corbel After the tracheostomy procedure, you'll likely stay in the hospital for several days as your body heals. 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Author Jeanine M Graf. Trach care includes suctioning and cleaning parts of the tube and your skin. eCollection 2021. for Your Tracheostomy This means the air going into your lungs will be dryer and cooler. MinionPro-Regular Medical Videos Privacy Policy, Images and Text Policy Editorial Policy, Information Policy Advertising Policy, Financial Disclosure Policy Cookie Policy, About Us Contact Us. Turn on the suction machine. xs The survival rate was 65% by 1 year and 45% by 2 years after tracheostomy. The feedback link Was this Article Helpful on this page can be used to report content that is not accurate, up-to-date or questionable in any manner. Like the branches of the tree, the windpipes (trachea) are further divided into smaller tubes that help to breathe and to clear the airway. xs with a Tracheostomy 8600 Rockville Pike PMID: 20606556 DOI: 10.1097/PCC.0b013e3181d9c70b No Epub 2012 Sep 16. Tracheostomy. StatPearls [Internet]., U.S. National Library of Medicine, 30 Nov. 2020. application/pdf This information is often useful for patients who have had the tracheostomy tube removed.1,2. In our study, we investigated postdischarge survival and quality of life (QoL) after tracheostomy for ARF in patients with ALS. Federal government websites often end in .gov or .mil. w3TPI2T0 BC#K#=SC#\. w3TPI2T0 BC#K#=Sss\. Tracheostomy (trach) care is done to keep your trach tube clean. Swallowing can be more difficult with a tracheal tube in place but once your medical team feels you are up to it you can begin eating and drinking. The site is secure. w3TPI2T0 BC#K#=SC#\. Copyright 2011 Elsevier Inc. All rights reserved. Blockages can be prevented by suctioning, humidifying the air, and selecting the appropriate tracheostomy tube. Cost-Utility Analysis of Home Mechanical Ventilation in Patients with Amyotrophic Lateral Sclerosis. Tracheostomy (trach) care is done to keep your trach tube clean. The study was conducted in an adult, respiratory intensive care unit in a university hospital. Clipboard, Search History, and several other advanced features are temporarily unavailable. x+ | WebHaving a stoma ( tracheostomy) means that the air you breathe will no longer pass through your nose or mouth, which normally help moisten, warm, and filter the air (removing dust and other particles). Please enable it to take advantage of the complete set of features! x+ | This means the air going into your lungs will be dryer and cooler. Speech therapists and nutritionists can often help this process. 2007 Feb;8(1):36-41. doi: 10.1080/17482960600863951. You can use a mirror that hangs on a wall or stands on a surface. Design: Corbel-Bold WebTips for eating with a trach tube. WebWe recommend changing the tracheostomy tube once a week to remove the dried or old secretions and maintain adequate hygiene of the tracheostomy tube and airway. Disclaimer. In many instances, these difficulties persist despite the removal of the tracheostomy tube however it gets better over time. MeSH Speech therapists and nutritionists can often help this process. for Your Tracheostomy xmp.did:478c6c31-b1b6-437d-bd41-ac68b43cf268 official website and that any information you provide is encrypted At first, you may be advised to drink thicker fluids, such as soups and nonalcoholic blended drinks. WebAn SLP can help you learn how to eat and drink safely. Survival and quality of life after tracheostomy for acute respiratory failure in eCollection 2020 Oct. Predictors and course of elective long-term mechanical ventilation: A prospective study of ALS patients. We follow a strict editorial policy and we have a zero-tolerance policy regarding any level of plagiarism. The numbers in the parentheses (1, 2, 3) are clickable links to peer-reviewed scientific papers. endstream Amyotroph Lateral Scler Other Motor Neuron Disord. Tracheostomy Throat Cancer endstream Tracheostomy Care 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 Amyotrophic lateral sclerosis patients with tracheostomy for ARF between January 1, 1995 and April 30, 2008 were investigated. Our articles are resourced from reputable online pages. 2020 Nov 10;6(4):00223-2020. doi: 10.1183/23120541.00223-2020. WebObvious signs of food/fluid in secretions suctioned out of the tracheostomy tube Frequent respiratory (chest) infections Crying, back arching, and batting/throwing food Choking or coughing while eating or drinking Vomiting with meals Congested lung sounds Large amount of watery secretions from the tracheostomy tube 2012 Dec 15;323(1-2):66-70. doi: 10.1016/j.jns.2012.08.011. Percutaneous tracheostomy is minimally invasive but comes with a greater risk of airway damage. Many of these early complications can be avoided or dealt with appropriately with our experienced surgeons in a hospital setting. Is Tracheostomy and Tracheotomy the same thing? Genuis SK, Luth W, Campbell S, Bubela T, Johnston WS. Fluids help keep your mucus thin and prevent mucus buildup. Unable to load your collection due to an error, Unable to load your delegates due to an error. Throat Cancer WebIf you or a loved one need help with quitting drugs or alcohol, consider Asana Recovery. We offer medical detox, along with both residential and outpatient programs, and youll be supervised by a highly trained staff of medical professionals, counselors, and therapists. When Should the Tracheostomy Tube Be Removed? Latest Medical News, Clinical Trials, Guidelines Today on Medscape, 12 Nov. 2019. Smoking and Tracheostomies We and our partners use cookies to Store and/or access information on a device. Amyotroph Lateral Scler Other Motor Neuron Disord. Your healthcare provider will suggest fluid intake for tracheostomy tube patients because this will loosen secretions and makes coughing easier. 1,2. Many of these early complications can be avoided or dealt with appropriately with our experienced surgeons in a hospital setting. The mean (SD) cumulative score on the LSI-11 was 9.3 (3.6; range, 0-22; higher values indicating better QoL), similar to that obtained from a control group consisting of individuals with ALS who had not received tracheostomy (9.3 4.3) and to that reported for persons in the general population. 2021 Mar 14;11(3):372. doi: 10.3390/brainsci11030372. Tracheostomy PMC Adobe InDesign CC 2015 (Macintosh) WebIf you or a loved one need help with quitting drugs or alcohol, consider Asana Recovery. after tracheostomy for acute respiratory You may also be asked to stop certain medications. None of the patients died in the hospital after tracheostomy. As your incision(s) heal, youll have less pain and need less pain medication. drink Webcan you drink alcohol with a tracheostomy incident in leyton high road today. Tracheostomy can you drink alcohol with a tracheostomy 7 0 obj Your healthcare provider will suggest fluid intake for tracheostomy tube patients because this will loosen secretions and makes coughing easier. In many instances, these difficulties persist despite the removal of the tracheostomy tube however it gets better over time. 2016-08-02T13:31:11-07:00 This can take weeks to months to learn. Tracheostomy Tracheostomy tubes feeding, eating and drinking Advertisement Plan for your hospital stay. To Expect After A Tracheostomy Is Removed WebAlthough administered at the time of a respiratory crisis without being discussed in advance, tracheostomy shows good acceptance and results in acceptable QoL. Adobe PDF Library 15.0; modified using iText 4.2.0 by 1T3XT Vender RL, Mauger D, Walsh S, Alam S, Simmons Z. Amyotroph Lateral Scler. Tracheostomy Care xS**T0T0 BC#0JU4PpW!i This article may contains scientific references. Corbel-Italic We offer medical detox, along with both residential and outpatient programs, and youll be supervised by a highly trained staff of medical professionals, counselors, and therapists. Would you like email updates of new search results? See ASHAs information for professionals on the Practice Portals Tracheostomy and Ventilator Dependence page. with a Tracheostomy endobj Unauthorized use of these marks is strictly prohibited. Manage Settings Fluids help keep your mucus thin and prevent mucus buildup. Continue with Recommended Cookies, People who have tracheostomies often feel variations in their lifestyle in association with swallowing, eating, and drinking, and these changes persist even after the removal of tracheostomy.1,2, After the breathing tube is removed the skin edges are sealed completely but still the patients will have difficulties while speaking and coughing.3, Speaking is very difficult because speech is generated from the vocal cord at the back of the throat.4. Connect the suction catheter to the suction machines plastic tubing. Survival and quality of life after tracheostomy for acute respiratory failure in 2021 Aug 4;12:683197. doi: 10.3389/fneur.2021.683197. Brain Sci. PD94bWwgdmVyc2lvbj0iMS4wIiBlbmNvZGluZz0iVVRGLTgiPz4KPCFET0NUWVBFIHBsaXN0IFBVQkxJQyAiLS8vQXBwbGUvL0RURCBQTElTVCAxLjAvL0VOIiAiaHR0cDovL3d3dy5hcHBsZS5jb20vRFREcy9Qcm9wZXJ0eUxpc3QtMS4wLmR0ZCI+CjxwbGlzdCB2ZXJzaW9uPSIxLjAiPgo8ZGljdD4KCTxrZXk+Q1RGb250Q29weXJpZ2h0TmFtZTwva2V5PgoJPHN0cmluZz7CqSAyMDA4IE1pY3Jvc29mdCBDb3Jwb3JhdGlvbi4gQWxsIFJpZ2h0cyBSZXNlcnZlZC48L3N0cmluZz4KCTxrZXk+Q1RGb250RGVzY3JpcHRpb25OYW1lPC9rZXk+Cgk8c3RyaW5nPkNvcmJlbCBpcyBkZXNpZ25lZCB0byBnaXZlIGFuIHVuY2x1dHRlcmVkIGFuZCBjbGVhbiBhcHBlYXJhbmNlIG9uIHNjcmVlbi4gVGhlIGxldHRlciBmb3JtcyBhcmUgb3BlbiB3aXRoIHNvZnQsIGZsb3dpbmcgY3VydmVzLiBJdCBpcyBsZWdpYmxlLCBjbGVhciBhbmQgZnVuY3Rpb25hbCBhdCBzbWFsbCBzaXplcy4gQXQgbGFyZ2VyIHNpemVzIHRoZSBkZXRhaWxpbmcgYW5kIHN0eWxlIG9mIHRoZSBzaGFwZXMgaXMgbW9yZSBhcHBhcmVudCByZXN1bHRpbmcgaW4gYSBtb2Rlcm4gc2FucyBzZXJpZiB0eXBlIHdpdGggYSB3aWRlIHJhbmdlIG9mIHBvc3NpYmxlIHVzZXMuPC9zdHJpbmc+Cgk8a2V5PkNURm9udERlc2lnbmVyTmFtZTwva2V5PgoJPHN0cmluZz5KZXJlbXkgVGFua2FyZDwvc3RyaW5nPgoJPGtleT5DVEZvbnREZXNpZ25lclVSTE5hbWU8L2tleT4KCTxzdHJpbmc+aHR0cDovL3d3dy50eXBvZ3JhcGh5Lm5ldDwvc3RyaW5nPgoJPGtleT5DVEZvbnRGYW1pbHlOYW1lPC9rZXk+Cgk8c3RyaW5nPkNvcmJlbDwvc3RyaW5nPgoJPGtleT5DVEZvbnRGdWxsTmFtZTwva2V5PgoJPHN0cmluZz5Db3JiZWwgQm9sZCBJdGFsaWM8L3N0cmluZz4KCTxrZXk+Q1RGb250R2V0R2x5cGhDb3VudDwva2V5PgoJPGludGVnZXI+MTIwMTwvaW50ZWdlcj4KCTxrZXk+Q1RGb250TGljZW5zZU5hbWVOYW1lPC9rZXk+Cgk8c3RyaW5nPllvdSBtYXkgdXNlIHRoaXMgZm9udCBhcyBwZXJtaXR0ZWQgYnkgdGhlIEVVTEEgZm9yIHRoZSBwcm9kdWN0IGluIHdoaWNoIHRoaXMgZm9udCBpcyBpbmNsdWRlZCB0byBkaXNwbGF5IGFuZCBwcmludCBjb250ZW50LiBZb3UgbWF5IG9ubHkgKGkpIGVtYmVkIHRoaXMgZm9udCBpbiBjb250ZW50IGFzIHBlcm1pdHRlZCBieSB0aGUgZW1iZWRkaW5nIHJlc3RyaWN0aW9ucyBpbmNsdWRlZCBpbiB0aGlzIGZvbnQ7IGFuZCAoaWkpIHRlbXBvcmFyaWx5IGRvd25sb2FkIHRoaXMgZm9udCB0byBhIHByaW50ZXIgb3Igb3RoZXIgb3V0cHV0IGRldmljZSB0byBoZWxwIHByaW50IGNvbnRlbnQuPC9zdHJpbmc+Cgk8a2V5PkNURm9udExpY2Vuc2VVUkxOYW1lPC9rZXk+Cgk8c3RyaW5nPmh0dHA6Ly93d3cubWljcm9zb2Z0LmNvbS90eXBvZ3JhcGh5L2ZvbnRzL2RlZmF1bHQuYXNweDwvc3RyaW5nPgoJPGtleT5DVEZvbnRNYW51ZmFjdHVyZXJOYW1lPC9rZXk+Cgk8c3RyaW5nPk1pY3Jvc29mdCBDb3Jwb3JhdGlvbjwvc3RyaW5nPgoJPGtleT5DVEZvbnRQb3N0U2NyaXB0TmFtZTwva2V5PgoJPHN0cmluZz5Db3JiZWwtQm9sZEl0YWxpYzwvc3RyaW5nPgoJPGtleT5DVEZvbnRTdWJGYW1pbHlOYW1lPC9rZXk+Cgk8c3RyaW5nPkJvbGQgSXRhbGljPC9zdHJpbmc+Cgk8a2V5PkNURm9udFRyYWRlbWFya05hbWU8L2tleT4KCTxzdHJpbmc+Q29yYmVsIGlzIGVpdGhlciBhIHJlZ2lzdGVyZWQgdHJhZGVtYXJrIG9yIGEgdHJhZGVtYXJrIG9mIE1pY3Jvc29mdCBDb3Jwb3JhdGlvbiBpbiB0aGUgVW5pdGVkIFN0YXRlcyBhbmQvb3Igb3RoZXIgY291bnRyaWVzLjwvc3RyaW5nPgoJPGtleT5DVEZvbnRVbmlxdWVOYW1lPC9rZXk+Cgk8c3RyaW5nPk1pY3Jvc29mdDogQ29yYmVsIEJvbGQgSXRhbGljOiAyMDA1PC9zdHJpbmc+Cgk8a2V5PkNURm9udFZlbmRvclVSTE5hbWU8L2tleT4KCTxzdHJpbmc+aHR0cDovL3d3dy5taWNyb3NvZnQuY29tL3R5cG9ncmFwaHkvY3Rmb250czwvc3RyaW5nPgoJPGtleT5DVEZvbnRWZXJzaW9uTmFtZTwva2V5PgoJPHN0cmluZz5WZXJzaW9uIDUuNjE8L3N0cmluZz4KCTxrZXk+Ym9sZCB0cmFpdDwva2V5PgoJPHRydWUvPgoJPGtleT5jb25kZW5zZWQgdHJhaXQ8L2tleT4KCTxmYWxzZS8+Cgk8a2V5PmV4dGVuZGVkIHRyYWl0PC9rZXk+Cgk8ZmFsc2UvPgoJPGtleT5mdWxsIG5hbWU8L2tleT4KCTxzdHJpbmc+Q29yYmVsIEJvbGQgSXRhbGljPC9zdHJpbmc+Cgk8a2V5Pml0YWxpYyB0cmFpdDwva2V5PgoJPHRydWUvPgoJPGtleT5tb25vc3BhY2VkIHRyYWl0PC9rZXk+Cgk8ZmFsc2UvPgoJPGtleT5wb3N0c2NyaXB0TmFtZTwva2V5PgoJPHN0cmluZz5Db3JiZWwtQm9sZEl0YWxpYzwvc3RyaW5nPgoJPGtleT5wcm9wb3J0aW9uIHRyYWl0PC9rZXk+Cgk8cmVhbD4wLjA8L3JlYWw+Cgk8a2V5PnNsYW50IHRyYWl0PC9rZXk+Cgk8cmVhbD4wLjA2OTQ0NDQ0MDMwNTIzMzAwMjwvcmVhbD4KCTxrZXk+dmVyc2lvbjwva2V5PgoJPHN0cmluZz5WZXJzaW9uIDUuNjE8L3N0cmluZz4KCTxrZXk+dmVydGljYWwgdHJhaXQ8L2tleT4KCTxmYWxzZS8+Cgk8a2V5PndlaWdodCB0cmFpdDwva2V5PgoJPHJlYWw+MC40MDAwMDAwMDU5NjA0NjQ0ODwvcmVhbD4KPC9kaWN0Pgo8L3BsaXN0Pgo=
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