Other tracheostomy complications include infection,
bleeding, tracheomalacia, skin breakdown, and tracheo -
esophageal fistula. When a patient has a tracheostomy,
the natural functions of warming, filtering, and humidifying
the airway are also lost. In addition, intrinsic positive
end-expiratory pressure is lost because of the loss of subglottic pressure.49Without these natural mechanisms,
patients are prone to infection. Loss of the natural
filtration and humidification can lead to production
of thick sputum, which makes mucous plugs more likely
Other tracheostomy complications include infection,bleeding, tracheomalacia, skin breakdown, and tracheo -esophageal fistula. When a patient has a tracheostomy,the natural functions of warming, filtering, and humidifyingthe airway are also lost. In addition, intrinsic positiveend-expiratory pressure is lost because of the loss of subglottic pressure.49Without these natural mechanisms,patients are prone to infection. Loss of the naturalfiltration and humidification can lead to productionof thick sputum, which makes mucous plugs more likely
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