Trach question
Keith Smith
Description
Collection
Title:
Trach question
Creator:
Keith Smith
Date:
4/11/2013
Text:
Fellow Colleagues,
Thanks in advance for any and all comments and experience you may have had with the patient presented here.
16 year old patient who is trach and ventilator dependent. Has large stoma and high ventilator pressure settings resulting in significant air leakage around trach when trach cuff is deflated. However, pt. remains unaffected in the area of cognition and communication. Therefore, if the leak could be stopped and the cuff could remain deflated, she would be able to communicate freely. With the cuff inflated she has to rely on people reading her lips only. So far, the leak has only been stopped when someone puts finger pressure on the gel donut around the base of her trach. She is unable to provide this pressure herself.
Currently, I molded the area and made a low density polyethylene piece but still unsuccessfully able to apply the pressure. Looking for thoughts or further suggestions.
Keith M Smith CO LO FAAOP
You don't stop laughing because you Grow old. You grow old because you stop laughing.
It is aerodynamically impossible for the bumble bee to fly. Too big of a body. Too small of a wingspan. But it does not know that so it just keeps on flying.
Thanks in advance for any and all comments and experience you may have had with the patient presented here.
16 year old patient who is trach and ventilator dependent. Has large stoma and high ventilator pressure settings resulting in significant air leakage around trach when trach cuff is deflated. However, pt. remains unaffected in the area of cognition and communication. Therefore, if the leak could be stopped and the cuff could remain deflated, she would be able to communicate freely. With the cuff inflated she has to rely on people reading her lips only. So far, the leak has only been stopped when someone puts finger pressure on the gel donut around the base of her trach. She is unable to provide this pressure herself.
Currently, I molded the area and made a low density polyethylene piece but still unsuccessfully able to apply the pressure. Looking for thoughts or further suggestions.
Keith M Smith CO LO FAAOP
You don't stop laughing because you Grow old. You grow old because you stop laughing.
It is aerodynamically impossible for the bumble bee to fly. Too big of a body. Too small of a wingspan. But it does not know that so it just keeps on flying.
Citation
Keith Smith, “Trach question,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/235052.
