How to do a Tracheostomy Exchange at Home

Doing a tracheostomy tube exchange (also known as a tracheostomy tube change) is an easy procedure to do at home. You just need a handful of supplies and some confidence. The biggest thing to remember during the procedure is to stay calm. During this video, I will explain the supplies you will need and will explain in a step-by-step fashion how to do a tracheostomy exchange. I will also address some complications which may arise and solutions to these challenges. #lifewithavent #tracheostomy #respiratorycare

Supplies needed to do a tracheostomy exchange:
Trach tube
trach tie/trach tube holder
scissors
lubricant
gloves
gauze
mirror (if doing trach exchange on yourself)

Steps for doing a trach exchange:
1. WASH YOUR HANDS!
2. Carefully open the tracheotomy tube package.
3. Open the plastic sleeve of the trach tube holder. Adjust the trach tie around your neck, cutting off any extra with a scissors.
4. Take gauze and clean your tracheostomy area.
5. If you have a cuffed trach tube, deflate the cuff.
6. Wash your hands again. Put on gloves.
7. Carefully remove the obturator from the package, only touching the round end. Insert obturator into trach tube.
8. Once the obturator is inserted into the trach tube, place a small amount of lubricant on the pointed tip of the obturator.
9. Disconnect from the ventilator.
10. Cut the trach tube holder with a scissors.
11. Pull out the old trach tube. Use gauze to wipe off the tracheostomy area.
12. Insert the new trach tube. You will need to insert the tube at an angle, push in and then twist the trach tube into the correct position.
13. Once the trach tube is in place, immediately remove the obturator.
14. After the trach tube is in place, attach the trach tube holder. Once the trach tube holder is attached, reconnect the ventilator if needed.
15. Clean up the trach site with gauze.

If you have any questions or concerns, please leave a comment.

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