Care essential 7
Manage the airway.
The cuff on the endotracheal or
tracheostomy tube provides airway
occlusion. Proper cuff inflation ensures
the patient receives the proper ventilator parameters, such as
TV and oxygenation. Following
hospital policy, inflate the cuff and
measure for proper inflation pressure
using the minimal leak technique
or minimal occlusive volume.
These techniques help prevent tracheal
irritation and damage caused
by high cuff pressure; always practice
them with an experienced
nurse or respiratory therapist. Never
add air to the cuff without using
proper technique.
When performing mouth care,
suction oral secretions and brush
the patient’s teeth, gums, and
tongue at least twice a day using
a soft pediatric or adult toothbrush.
Use a tonsil suction device
if your patient needs more frequent
suctioning.
With assistance from an experienced
colleague, change the tracheostomy
tube or tracheostomy
ties and endotracheal tube-securing
devices if they become soiled or
loose. Incorrect technique could
cause accidental extubation.