If a patient has a tracheostomy and intubation, can the wound heal if they want to be extubated?

Hello! It depends on the patient's current condition, he can live with a tube after weaning, the underlying disease has been cured, and the nutritional status is good, and he can try to extubate. It is necessary to determine whether breathing can be stable after extubation, and if so, the wound will generally heal, but there may be sequelae.

Typing isn't easy, oh!

Plug the tube for 2 days and 3 days, if there is no problem, you can pull out the cannula, paste a butterfly tape on the outside of the incision, and it will grow in about three or five days.

Lung infection secondary to head injury is very common, usually a tracheotomy is performed to help ventilation, and extubation can be done after the infection subsides

The trachea is a hard throat and should not be sutured; There are few muscles between the trachea and the epidermis, if you want to suture, you can only do ** surface sutures, here, when there is secretion in the trachea and lungs, part of the secretions will be discharged between the incision trachea and the epidermal incision due to breathing and coughing, and at the same time, the exhaled air will also run into more and run out less, preventing local growth, and it is easy to cause secondary infection, making it difficult to heal. If the epidermis is inverted due to breathing movements after suturing, it is more difficult to heal.

The correct treatment only needs to be extubated, apply a sterile gauze on the surface of the incision, disinfect and remove secretions every day, and then apply a sterilized gauze block, if there is no cough, it can generally heal in about 10 days. My dad had a similar situation.

Your husband's current situation, it is best to deal with the incision first, apply the medicine (apply sterile gauze blocks) after debridement according to the above method, do a good job of anti-inflammatory and anti-inflammatory**, increase nutrition (you can make fish soup), and if there is no cough, it can be healed in about 10 days.

This is very common! I try to make it clear in three sentences!

1. Inflammation is bacterial infection, and it is necessary to choose the right antibiotic to fight infection**!

2. Most of the reasons for non-healing of tracheostomy are active bleeding in the incision, or incomplete hemostasis during incision, and some elderly or malnourished people will also have delayed healing and even infection!

3. If you are infected, you should properly open the wound and change the dressing! Wait until there is no oozing before suturing it!

Introduction to the catalog.

Manage tracheostomy.

Tracheostomy is a common procedure to make an incision of the trachea in the neck and insert a metal tracheal cannula to relieve dyspnea caused by laryngeal dyspnea, respiratory dysfunction, or retention of secretions in the lower respiratory tract. Currently, there are 4 methods of tracheostomy: tracheostomy; percutaneous tracheostomy; cricothyrotomy; Minimally invasive tracheostomy (minitracheotomy).

Clinicians should master this resuscitation skill.

Share:Introduction Tracheostomy is a common surgery that incises the trachea in the neck and inserts a metal tracheal cannula, and tracheostomy to relieve dyspnea caused by laryngeal dyspnea, respiratory dysfunction or retention of secretions in the lower respiratory tract. Currently, there are 4 methods of tracheostomy: tracheostomy; percutaneous tracheostomy; cricothyrotomy; Minimally invasive tracheostomy (minitracheotomy).

Clinicians should master this resuscitation skill.

Treatment (1) Bedside equipment: Oxygen, suction device, tracheostomy device, urinary catheter and first-aid medicine should be prepared, oxygen is used for tracheostomy, and another tracheal cannula of the same name.

2) Keep the cannula unobstructed: sputum should be suctioned frequently, the inner tube should be cleaned regularly every day, and boiled and disinfected several times. It is not advisable to replace the external tube within one week after surgery, so as to avoid accidents caused by the difficulty of intubation due to the fact that the soft tissue in front of the trachea has not yet formed a sinus tract.

3) Keep the lower respiratory tract unobstructed: keep the appropriate temperature (about 22 °C) and humidity (relative humidity above 90%) indoors, pour water and steam on the ground and inhale it, and regularly drip a little normal saline, chymotrypsin, etc. through the tracheal cannula to dilute the sputum and facilitate coughing up.

4) Prevent wound infection: Due to sputum contamination, the postoperative wound is prone to infection, so change the dressing at least once a day. If infection has occurred, antibiotics may be given as appropriate.

5) Prevent the external tube from coming out: always pay attention to whether the cannula is in the trachea, if the cannula is out and not found in time, it can cause suffocation. The cannula is too short, the fixing strap is too loose, the tracheal incision is too low, the neck is swollen or the opening gauze is too thick, etc. can cause the outer canal to prolapse.

6) Extubation: Extubation can be considered after the throat obstruction or lower respiratory tract secretions are relieved and the general condition improves. Before extubation, the tube should be blocked for 1 2 days and nights, and if the patient has no dyspnea during activity and sleep, the tube can be extubated in the morning.

Generally, the wound does not need to be sutured, but only needs to be used to close the wound with butterfly glue, and it can heal on its own in a few days. In patients with long-term tubes, fistula repair should be performed because the epithelium at the incision site grows into the fistula and heals with the tracheal mucosa, forming a fistula.

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Hello! Did your father do phlegm cultures? Antibiotics can be guided by sceptibility results from sputum cultures.

Antibiotics are not effective, patients can take Chinese medicine, consider Chinese medicine**. If the antibiotic** is not too good, the patient's mental impairment and phlegm cannot be excluded, and there is a possibility of suffocation, so according to your father's condition, discuss with the doctor in charge to decide whether to keep the tracheostomy incision.

Chief Physician Zhang Wei, Department of Pulmonology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine.