Maintenance of a tracheotomy

Since the upper air passages have been bypassed, artificial humidification is required. Cough is less effective without a functioning larynx so regular tracheal suction will be necessary. Furthermore, the larynx provides a small amount of natural PEEP that is lost with a tracheostomy. The risk of basal atelectasis can be overcome with CPAP or attention to respiratory exercises that promote deep breathing. A safe fistula forms within 3-5 days, allowing replacement of the tracheotomy tube.

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Sleep Apnea

Sleep Apnea

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