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    22.6: Checklist for Tracheostomy Care and Sample Documentation

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    Tracheostomy care is provided on a routine basis to keep the tracheostomy tube’s flange, inner cannula, and surrounding area clean to reduce the amount of bacteria entering the artificial airway and lungs.

    See Figure \(\PageIndex{1}\) for an image of a sterile tracheostomy care kit.

    Replacing and Cleaning an Inner Cannula

    The primary purpose of the inner cannula is to prevent tracheostomy tube obstruction.

    Many sources of obstruction can be prevented if the inner cannula is regularly cleaned and replaced.

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    Some inner cannulas are designed to be disposable, while others are reusable for a number of days. Follow agency policy for inner cannula replacement or cleaning, but as a rule of thumb, inner cannula cleaning should be performed every 12-24 hours at a minimum.

    Cleaning may be needed more frequently depending on the type of equipment, the amount and thickness of secretions, and the patient’s ability to cough up the secretions.

    Changing the inner cannula may enco

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