post laryngectomy patient needs
pg. 305 - tracheostomy is performed - the trachea is diverted to a surgically constructed opening (stoma) in the neck. The pt then has a permanent tracheostomy with no connection between the nose and mouth and the lower respiratory system; the stoma is used for breathing. a laryngectomy tube which is shorter and wider than a tracheostomy tube, is put into place before discharge. After the stoma is completely healed and matured, about 6 weeks after surgery, the tube can be taken out as long as there is no compromise of the airway. A thin feeding tube is placed during surgery for postop use for abut 10 to 14 days.
what do you do before you uncuff a pt with a tracheostomy
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