1, items to prepare: tracheal tube, tube core, silicone oil, inch tape, sterile gloves, 2% lidocaine, such as tracheotomy less than a week need to be prepared for tracheotomy kit. Bedside suction device, 20ml empty needle, tracheotomy care package, 75% alcohol.
2, replacement of the patient before preparation: lying down, head parallel to the body, such as neck exposure is not sufficient to remove the pillow and suction clean tracheal secretion awake and light coma patients intratracheal drops of 2% lidocaine.
3. Wearing gloves, check the spare tracheal tube, tighten the fixed metal nut, and note that the small tube connecting the gas must be in a small slot. With an empty needle to inject air into the air bag, into a container filled with sterile saline, check the integrity of the cannula and air bag, there is no air leakage, and then the air Qin air pumped out. Tie the inch band, be sure to tie a fixed knot, and use silicone oil to spray evenly on the inner and outer walls of the tracheal cannula. Put the tube core into the tracheal cannula.
4. Remove the ventilator connector that connects the patient's tracheal tube, empty the air bag with an empty needle and aspirate, remove the gauze from the incision, and sterilize the skin of the tracheotomy impotence opening with 75% alcohol.
5, pull out the tracheal tube, not too violent quickly into the spare tracheal tube, pull out the core of the tube will be fixed in the neck with inches of elasticity in order to be able to put in a finger shall prevail.
6, check whether the position of the tracheal tube is correct sputum tube inserted smoothly, with an empty needle into the gas committee air 8cm, connected to the ventilator.
7, check the ventilator indicators are normal, especially pay attention to the airway resistance.